Individual
MALLAK AHMED GHOZLAN ZATREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 RAINBOW BLVD # MS 3002, KANSAS CITY, KS 66160-8500
(913) 588-6048
Mailing address
3901 RAINBOW BLVD # MS 3002, KANSAS CITY, KS 66160-8500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024007258
MO
207RN0300X
Nephrology Physician
Primary
94-11702
KS
Other
Enumeration date
04/26/2019
Last updated
06/25/2024
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