Bassam I Mattar
Hematology & Oncology
818 N Emporia St Suite 403
Wichita
, Kansas 67214-3729
Bassam I Mattar
Hematology & Oncology
818 N Emporia St Suite 403
Wichita
, Kansas 67214-3729
(316) 262-0706
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Bassam I Mattar
- 818 N Emporia St Suite 403
- Wichita, KS
- Zip : 67214-3729
- Fax : (316) 262-0706
- Phone : (316) 262-4467
Second Address
- Bassam I Mattar
- 818 N Emporia St Suite 403
- Wichita, KS
- Zip : 67214-3729
- Fax : (316) 262-0706
- Phone : (316) 262-4467
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 0427872 | KS |
National Provider Identifier
| NPI | 1053372649 |
|---|---|
| Provider Name | Bassam I Mattar |
| First Address | Wichita, KS 67214-3729 |
| Second Address | Wichita, KS 67214-3729 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 29/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100337210A | (05) | KS |
| 1286700002 | DMERC REGION 1 (01) | KS |
| 1286700003 | DMERC REGION 1 (01) | KS |
| 1286700004 | DMERC REGION 1 (01) | KS |
| 1286700005 | DMERC REGION 1 (01) | KS |
| 1286700006 | DMERC REGION 1 (01) | KS |
| 1286700007 | DMERC REGION 1 (01) | KS |
| 1286700008 | DMERC REGION 1 (01) | KS |
| 1286700009 | DMERC REGION 1 (01) | KS |
| 1286700011 | DMERC REGION 1 (01) | KS |
| 1286700012 | DMERC REGION 1 (01) | KS |
| 1286700013 | DMERC REGION 1 (01) | KS |
| 1286700015 | DMERC REGION 1 (01) | KS |
| 12867010010 | DMERC REGION 1 (01) | KS |
| G41859 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.