Individual
AHMED SIDIYA TALEB ABDELLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 932-0340
Mailing address
901 E 104TH ST # MS 400S, KANSAS CITY, MO 64131-4517
(816) 502-8752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01076488A
IN
208M00000X
Hospitalist Physician
2023022407
MO
Other
Enumeration date
07/03/2013
Last updated
04/24/2024
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