Individual provider · NPI-1

Ameer Atallah Abdelrazeq Al-Ghalailat, M.D.

Hospitalist · Kansas City, MO

NPI number1255949111

StatusActive

Last updated in NPPESJul 20, 2023

Details

NPI: 1255949111
Entity type: Individual (NPI-1)
Name: Mr. Ameer Atallah Abdelrazeq Al-Ghalailat
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Jul 16, 2020
Certification date: Jul 20, 2023
Last updated: Jul 20, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208M00000X	Hospitalist	MD213670	OR	Yes
207R00000X	Internal Medicine	MD213670	OR

Practice location

Truman Medical Center
2301 Holmes St. Dept. Of Medicine
Kansas City, MO 64108

Phone 816-404-0957 · Fax 816-404-0003

Mailing address

Po Box 14001
Salem, OR 97309-5014

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