Individual
HEBA SAFWAT BISHARA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7107 S MERIDIAN ST, HAYSVILLE, KS 67060-7678
(316) 789-1174
(316) 858-4169
Mailing address
212 S TERRACE DR, WICHITA, KS 67218-1432
(316) 689-5121
(316) 689-5122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-28257
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100396570B
—
KS
01
—
103347
BC/BS
KS
05
—
200002310A
—
KS
01
—
P00368414
MEDICARE RAILROAD
KS
Enumeration date
08/05/2006
Last updated
04/30/2012
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