Abu Ghanimah, Al Mamon

Abu Ghanimah, Al Mamon is an individual health care provider with primary practice located at 1500 Sw 10Th Ave , Topeka KS 66604-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Abu Ghanimah, Al Mamon can be contacted via phone (785) 354-5242.

Contact Information

Primary practice address
1500 Sw 10Th Ave Topeka KS 66604-1301
Phone: (785) 354-5242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 04-37184 Kansas

Profile Details

NPI number 1417239013
LBN Legal business name Abu Ghanimah, Al Mamon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2011
Last updated Dec 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417239013 NPPES
Kansas MEDICAID 201100090A
Kansas Other 068002266

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