Individual
MAGED BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5757
(316) 268-7496
Mailing address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5757
(316) 268-7496
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-29487
KS
207P00000X
Emergency Medicine Physician
MD15648
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100419770A
—
KS
01
—
101810
MEDICARE
—
Enumeration date
05/27/2006
Last updated
11/05/2021
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