Individual provider · NPI-1

Dr. Khalid Abdullatif Sadeq Abdalla, M.D.

Internal Medicine · Kansas City, KS

NPI number1821607136
StatusActive
Last updated in NPPESJul 9, 2024

Details

NPI
1821607136
Entity type
Individual (NPI-1)
Name
Dr. Khalid Abdullatif Sadeq Abdalla
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 23, 2020
Certification date
Jul 9, 2024
Last updated
Jul 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2020016508MOYes
390200000X Student in an Organized Health Care Education/Training Program20200165508MO

Practice location

4000 Cambridge St
Kansas City, KS 66160-8501

Phone 913-588-6005 · Fax 913-588-3877

Mailing address

4000 Cambridge St
Kansas City, KS 66160-8501

Phone 913-588-6005 · Fax 913-588-3877

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