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Individual

DR. KHALID ABDULLATIF SADEQ ABDALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-6005
(913) 588-3877
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-6005
(913) 588-3877

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020016508
MO
390200000X
Student in an Organized Health Care Education/Training Program
20200165508
MO

Other

Enumeration date
07/23/2020
Last updated
07/09/2024
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