Organization
KANSAS KIDS HEART CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD K AL-AHDAB M.D. (PRESIDENT)
(316) 440-8800
Entity
Organization
Contact information
Practice address
7015 E. CENTRAL, SUITE 2, WICHITA, KS 67206-1946
(316) 440-8800
(316) 440-8802
Mailing address
7015 E. CENTRAL, SUITE 2, WICHITA, KS 67206-1946
(316) 440-8800
(316) 440-8802
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
04-32074
KS
363LP0200X
Pediatric Nurse Practitioner
44567
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033133576
NPI
KS
01
—
1336172014
NPI
KS
Enumeration date
03/05/2010
Last updated
03/19/2021
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