Individual
DR. MOHAMAD KHALED AL-AHDAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7015 E. CENTRAL, SUITE 2, WICHITA, KS 67206-1946
(316) 440-8800
(316) 440-8802
Mailing address
7015 E CENTRAL AVE, SUITE 2, WICHITA, KS 67206-1943
(316) 440-8800
(316) 440-8802
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
036105004
IL
2080P0202X
Pediatric Cardiology Physician
Primary
04-32074
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200096860B
—
OK
05
—
200414260C
—
KS
01
—
KS1949
PTAN
KS
Enumeration date
07/08/2006
Last updated
04/09/2021
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