Individual provider · NPI-1

Mohanned Abu El Haija

Student in an Organized Health Care Education/Training Program · Kansas City, MO

NPI number1376330225
StatusActive
Last updated in NPPESAug 13, 2025

Details

NPI
1376330225
Entity type
Individual (NPI-1)
Name
Mohanned Abu El Haija
Sex
Male
Sole proprietor
No
Enumeration date
Apr 23, 2025
Last updated
Aug 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program2025025173MOYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2411 Holmes
Kansas City, MO 64108

Phone 816-404-4175 · Fax 816-404-0003

Mailing address

2411 Holmes
Kansas City, MO 64108

Phone 816-404-0957

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