Individual
ASSADOLLAH ZAINALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 624-1651
Mailing address
PO BOX 1024, WICHITA, KS 67201-1024
(316) 685-6236
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-18506
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000U1995
—
NM
01
—
001282
BCBS
KS
05
—
100029640A
—
OK
05
—
100193280A
—
KS
01
—
300022970
RAILROAD MEDICARE
—
Enumeration date
01/28/2006
Last updated
12/02/2013
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