Individual
LIRIO U MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
373 W 101ST TER, KANSAS CITY, MO 64114-4408
(816) 942-8200
(913) 495-3760
Mailing address
8550 MARSHALL DR, SUITE 220 ADMINISTRATION, LENEXA, KS 66214-1505
(913) 495-2000
(913) 495-3760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9745
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110231650
RR MEDICARE
MO
Enumeration date
07/31/2006
Last updated
12/19/2012
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