Individual
ALI MAZHAR ELKHARBOTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9370
(316) 689-9363
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
04-37653
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719381
MEDICARE
—
05
—
201115630A
—
KS
Enumeration date
06/13/2008
Last updated
09/30/2016
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