Individual
FADDY IMAD KHAMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20805 W 151ST ST STE 224, OLATHE, KS 66061-7249
(913) 355-8400
(913) 782-1574
Mailing address
20805 W 151ST ST STE 224, OLATHE, KS 66061-7249
(913) 355-8400
(913) 782-1574
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-45075
KS
Other
Enumeration date
06/10/2018
Last updated
02/15/2022
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