Individual
AHMED SAMEH ABOUL-MAGD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
522 W 32ND ST STE 1, JOPLIN, MO 64804-2533
(417) 782-5000
(417) 782-2945
Mailing address
522 W 32ND ST STE 1, JOPLIN, MO 64804-2533
(417) 782-5000
(417) 782-2945
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
04-30664
KS
207RN0300X
Nephrology Physician
Primary
113795
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000104082
BLUE CROSS BLUE SHIELD
KS
01
—
050604077001
BLUE CROSS BLUE SHIELD
OK
01
—
184825
BLUE CROSS BLUE SHIELD
MO
05
—
200039110A
—
OK
05
—
200264410C
—
KS
05
—
203842620
—
MO
Enumeration date
07/28/2006
Last updated
05/04/2022
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