Individual
MAZEN M DIMACHKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3599 RAINBOW BLVD # MS 2012, KANSAS CITY, KS 66103-2078
(913) 588-6970
(913) 588-0673
Mailing address
2100 W 36TH AVE MS 2012, KANSAS CITY, KS 66160-1088
(913) 588-6970
(913) 588-0673
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
0432337
KS
2084N0400X
Neurology Physician
Primary
0432337
KS
Other
Enumeration date
06/18/2006
Last updated
11/11/2016
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