Individual
DR. MATTHEW C. ABOUDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4321 WASHINGTON ST STE 6000, KANSAS CITY, MO 64111-5930
(816) 756-2255
(816) 931-4080
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(423) 778-9101
(423) 778-9190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54053
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
54053
TN
207RP1001X
Pulmonary Disease Physician
Primary
54053
TN
Other
Enumeration date
09/12/2006
Last updated
08/21/2019
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