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Individual

DR. SAM NOUHAD COHLMIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9449 E 21ST ST N, WICHITA, KS 67206-2969
(316) 264-8932
(316) 264-1257
Mailing address
9449 E 21ST ST N, WICHITA, KS 67206-2969
(316) 264-8932
(316) 264-1257

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0427225
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100292290B
KS
Enumeration date
05/01/2006
Last updated
01/19/2011
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