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Individual

LAITH N MAALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3901 RAINBOW BLVD # MS 2012, KANSAS CITY, KS 66160-0001
(913) 588-6970
Mailing address
1120 15TH ST, BL 3076, AUGUSTA, GA 30912-0001
(706) 721-5988

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-39510
KS
2084N0400X
Neurology Physician
56186
KY
2084N0400X
Neurology Physician
Primary
ME157404
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-39510
MEDICAL LICENSE
KS
01
56186
MEDICAL LICENSE
KY
01
ME157404
MEDICAL LICENSE
FL
Enumeration date
07/13/2012
Last updated
06/16/2022
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