Individual
DR. GHIYATH AL-TABBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 N WEBB RD, WICHITA, KS 67226-8127
(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
04-34296
KS
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
04-34296
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200485750A
—
OK
05
—
200684600D
—
KS
Enumeration date
04/17/2007
Last updated
08/07/2019
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