Individual
DR. ALAA BOULAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 N WEBB RD, WICHITA, KS 67226
(316) 686-5300
(316) 651-2660
Mailing address
3535 N WEBB RD, WICHITA, KS 67226-8127
(316) 686-5300
(316) 651-2660
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-41891
KS
207RI0011X
Interventional Cardiology Physician
Primary
04-41891
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KS
Enumeration date
07/17/2012
Last updated
06/25/2019
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