Individual
USAMA HASSAN MABROUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 512-7439
(816) 512-7440
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2523
(816) 421-7379
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2005029645
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207503103
—
MO
Enumeration date
08/15/2006
Last updated
07/25/2017
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