Individual
AHMED HATEM MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-49547
KS
207RC0000X
Cardiovascular Disease Physician
Primary
04-49547
KS
207RI0011X
Interventional Cardiology Physician
04-49547
KS
Other
Enumeration date
07/24/2017
Last updated
08/01/2024
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