Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 04-40276 | KS |
Y | 2080P0208X | Pediatric Infectious Diseases | 2017028370 | MO |
N | 2080P0208X | Pediatric Infectious Diseases | 22358 | MS |
NPI | 1013172055 |
---|---|
Provider Name | Rana El Feghaly |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2008 |
Last Update Date | 13/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00150273 | (05) | MS |