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Individual

ALI ADNAN JAMALALLAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9989
(316) 689-9972
Mailing address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9989
(316) 689-9972

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098934
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
04-39079
KS
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
47515
KY

Other

Enumeration date
07/20/2011
Last updated
08/01/2016
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