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Mouhanna Khaled Mahmoud Abu Ghanimeh, M.D.

Internal Medicine, Gastroenterology in Sioux Falls, SD. Individual provider (NPI-1).

NPI number1962812982
StatusActive
Last updated in NPPESApr 18, 2022

Details

NPI
1962812982
Entity type
Individual (NPI-1)
Name
Mr. Mouhanna Khaled Mahmoud Abu Ghanimeh
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 29, 2014
Certification date
Apr 18, 2022
Last updated
Apr 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology12467SDYes
207R00000X Internal Medicine2014014710MO

Practice location

1205 S Grange Ave
Sioux Falls, SD 57105-0407

Phone 605-328-6585

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Other practice locations

2301 Holmes Street
Truman Medical Center
Kansas City, MO 64108

Phone 816-404-4175 · Fax 816-404-0003

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