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Individual

TAHAR MALEK MAHMOUDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3995
(816) 404-3997
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012009847
MO
207RG0100X
Gastroenterology Physician
Primary
2012009847
MO
207RI0008X
Hepatology Physician
2012009847
MO

Other

Enumeration date
06/12/2007
Last updated
10/24/2016
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