Individual provider · NPI-1

Mohammad Ali Abdel Jawad

Hospitalist · Wichita, KS

NPI number1649650995
StatusActive
Last updated in NPPESMay 25, 2023

Details

NPI
1649650995
Entity type
Individual (NPI-1)
Name
Mohammad Ali Abdel Jawad
Sex
Male
Sole proprietor
No
Enumeration date
Jun 2, 2015
Certification date
May 25, 2023
Last updated
May 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist04-40568KSYes
207R00000X Internal Medicine04-40568KS
390200000X Student in an Organized Health Care Education/Training Program–NM

Practice location

929 N Saint Francis Ave
Wichita, KS 67214-3821

Phone 316-268-5000

Mailing address

6516 W Palmetto St
Wichita, KS 67205-5100

Phone 505-900-7814

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