Individual
MOUHAMMED R KABBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2004007956
MO
2084N0400X
Neurology Physician
Primary
51924
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191199
BCBS
—
05
—
208424119
—
MO
05
—
35331100
—
WI
01
—
671651
HEALTHLINK
—
01
—
P00257160
RAILROAD MEDICARE
—
Enumeration date
06/16/2006
Last updated
12/02/2021
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