Individual
BASSEM H EL-NABBOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
848 N SAINT FRANCIS ST, STE. 3949, WICHITA, KS 67214-3800
(316) 268-8040
(316) 291-4880
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-33978
KS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
04-33978
KS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
E-4321
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719217
MEDICARE
—
05
—
200355820H
—
KS
Enumeration date
10/18/2006
Last updated
03/02/2017
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