Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 04-40827 | KS |
N | 207RC0000X | Internist - Cardiovascular Disease | 036135040 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 04-40827 | KS |
NPI | 1063721769 |
---|---|
Provider Name | Mohamed Mahmoud El Khashab |
First Address | Kansas City, KS 66160-8501 |
Second Address | Kansas City, KS 66160-8501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2010 |
Last Update Date | 10/12/2018 |