Individual
DR. HAYTHAM ALRAYAH HUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6185 NW JEFFERSON ST, PARKVILLE, MO 64152-3683
(816) 569-1506
Mailing address
6185 NW JEFFERSON ST, PARKVILLE, MO 64152-3683
(816) 569-1506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301099700
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912165853
—
MO
Enumeration date
05/28/2008
Last updated
10/24/2017
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