Individual
OMAR HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2624
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2624
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9408145
KS
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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