| Mahmoud Wahba, Md | |
|
1010 Carondelet Dr Suite 405 Kansas City MO 64114-4859 | |
| (816) 941-0145 | |
| (816) 941-3802 |
| Full Name | Mahmoud Wahba, Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1010 Carondelet Dr, Kansas City, Missouri |
| Authorized Official Name and Position | Mahmoud Wahba (PRESIDENT) |
| Authorized Official Contact | 8169410145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahmoud Wahba, Md Po Box 25833 Overland Park KS 66225-5833 Ph: (913) 248-9693 | Mahmoud Wahba, Md 1010 Carondelet Dr Suite 405 Kansas City MO 64114-4859 Ph: (816) 941-0145 |
| NPI Number | 1972567287 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0244304988 |
|---|---|
| Medicare Enrollment ID | O20080730000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972567287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R4J42 (Missouri) | Primary |
| Provider Name | Mahmoud M Wahba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881658771 PECOS PAC ID: 1557376266 Enrollment ID: I20080730000116 |
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