Individual
MR. YAZAN MUNIR ELIAS GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108
(816) 404-4175
Mailing address
2301 HOLMES STREET, TRUMAN MEDICAL CENTER - HH, KANSAS CITY, MO 64108
(816) 404-4862
(816) 404-4261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014014180
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2014
Last updated
08/11/2016
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