Most Relevant Information
Provider Data
| NPI Number: | 1003268665 |
| Provider Name: | OMAR KHALED MAHMOUD ABUGHANIMEH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/07/2016 |
| Last Updated: | 08/13/2016 |
Provider Practice Location
2301 HOLMES ST
KANSAS CITY
MO
641082640
Practice Location Phone/Fax
| Phone: | 8164044175 |
| Fax: |
Provider Mailing Location
2301 HOLMES ST
KANSAS CITY
MO
641082640
Provider Mailing Phone/Fax
| Phone: | 8164044175 |
| Fax: |