Ahmed Madi Md Pa | |
25123 W 105th Ter Olathe KS 66061-7654 | |
(913) 787-3063 | |
(913) 839-3303 |
Full Name | Ahmed Madi Md Pa |
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Speciality | Internal Medicine |
Location | 25123 W 105th Ter, Olathe, Kansas |
Authorized Official Name and Position | Nicole Spaulding (BUSINESS MANAGER, CEI) |
Authorized Official Contact | 9138517780 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ahmed Madi Md Pa 25123 W 105th Ter Olathe KS 66061-7654 Ph: (913) 787-3063 | Ahmed Madi Md Pa 25123 W 105th Ter Olathe KS 66061-7654 Ph: (913) 787-3063 |
NPI Number | 1467779033 |
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Provider Enumeration Date | 04/22/2010 |
Last Update Date | 05/16/2024 |
Medicare PECOS PAC ID | 3274725650 |
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Medicare Enrollment ID | O20101004001274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467779033 | NPI | - | NPPES |
2006009459 | Other | MO | AHMED MADI, MD |
04-31637 | Other | KS | AHMED MADI, MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2006009459 (Missouri) | Primary |
Provider Name | Ahmed M Madi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316996994 PECOS PAC ID: 7416859970 Enrollment ID: I20060615000134 |
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