Organization
AMMAR KHALIFA, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMAR KHALIFA MD (PRESIDENT)
(913) 432-8400
Entity
Organization
Contact information
Practice address
8901 W 74TH ST, SUITE 147, SHAWNEE MISSION, KS 66204-2204
(913) 432-8400
(913) 432-8402
Mailing address
PO BOX 932017, KANSAS CITY, MO 64121-2017
(913) 248-9693
(913) 248-9383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-29215
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200378130A
—
KS
01
—
36903019
BLUE SHIELD KANSAS CITY
MO
05
—
501170401
—
MO
Enumeration date
03/23/2006
Last updated
12/11/2007
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