Individual
JIHAN FATHALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD., MS 2027, KANSAS CITY, KS 66160
(913) 945-3974
(913) 588-0593
Mailing address
3901 RAINBOW BLVD, MS 2027, KANSAS CITY, KS 66160
(913) 945-3974
(913) 588-0593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-08951
KS
Other
Enumeration date
06/10/2016
Last updated
04/03/2017
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