Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 272463 | NY |
Y | 207ND0900X | Dermatopathologist | 04-37868 | KS |
N | 207ND0900X | Dermatopathologist | ME121099 | FL |
N | 207R00000X | Internist | 147665 | DC |
N | 111NI0900X | Internist | 147665 | DC |
NPI | 1013163211 |
---|---|
Provider Name | Dr. Majdy Ali A. Albahhar |
First Address | Topeka, KS 66606-1707 |
Second Address | Manhattan, KS 66503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 04/09/2015 |