Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 0439073 | KS |
Y | 207K00000X | Allergist & Immunologist | 2016017550 | MO |
N | 207R00000X | Internist | 0439073 | KS |
N | 111NI0900X | Internist | 0439073 | KS |
N | 207R00000X | Internist | 2016017550 | MO |
N | 111NI0900X | Internist | 2016017550 | MO |
NPI | 1124255328 |
---|---|
Provider Name | Salman Abdullah Aljubran |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64111-2659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2009 |
Last Update Date | 03/08/2016 |