Individual
DR. AMMAR KHALIFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11661 COLLEGE BLVD, OVERLAND PARK, KS 66210-4107
(913) 432-8400
(913) 432-8402
Mailing address
11661 COLLEGE BLVD, OVERLAND PARK, KS 66210-4107
(913) 432-8400
(913) 432-8402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-29215
KS
207R00000X
Internal Medicine Physician
2001012049
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100458250A
—
KS
05
—
205803018
—
MO
01
—
32534031
BLUE SHIELD KANSAS CITY
—
01
—
463966
FAMILY HEALTH PARTNERS
KS
01
—
522490
FIRST GUARD PROVIDER NO
KS
Enumeration date
08/23/2005
Last updated
10/30/2018
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