Individual
DR. YAZAN SALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4175
Mailing address
2705 MCGEE TRFY APT 4302, KANSAS CITY, MO 64108-3475
(816) 286-3897
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2023025185
MO
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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