| Dr Mohamad Khaled Al-ahdab, MD | |
|
7015 E. Central, Suite 2, Wichita, KS 67206-1946 | |
| (316) 440-8800 | |
| (316) 440-8802 |
| Full Name | Dr Mohamad Khaled Al-ahdab |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 7015 E. Central, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336172014 | NPI | - | NPPES |
| KS1949 | Other | KS | PTAN |
| 200096860B | Medicaid | OK | |
| 200414260C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 036105004 (Illinois) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | 04-32074 (Kansas) | Primary |
| Entity Name | Ascension Via Christi Hospitals Wichita Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871589333 PECOS PAC ID: 5799696944 Enrollment ID: O20031118000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohamad Khaled Al-ahdab, MD 7015 E Central Ave, Suite 2, Wichita, KS 67206-1943 Ph: (316) 440-8800 | Dr Mohamad Khaled Al-ahdab, MD 7015 E. Central, Suite 2, Wichita, KS 67206-1946 Ph: (316) 440-8800 |
Patrick Bowen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N. Kansas, Wcgme, Wichita, KS 67214 Phone: 316-962-3030 | |
Dr. Cindy Daugherty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Deborah Anne Kroeker Alliston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Justin Alexander Mills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-962-3030 | |
Reem Siblini, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
Luke O Nichols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 | |
Kay Hocutt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 |