Individual
DR. MAZIN F AL-KASSPOOLES
Active
Individual
DR. MAZIN F AL-KASSPOOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-31498
KS
2086X0206X
Surgical Oncology Physician
Primary
04-31498
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200348460A
—
KS
05
—
207576802
—
MO
01
—
35920013
BCBS KANSAS CITY
MO
01
—
927869
FIRSTGUARD
KS
Enumeration date
09/05/2006
Last updated
01/26/2022
Update your record
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