Boulad, Alaa

Boulad, Alaa is an individual health care provider with primary practice located at 3535 N Webb Rd , Wichita KS 67226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Boulad, Alaa can be contacted via phone (316) 686-5300.

Contact Information

Primary practice address
3535 N Webb Rd Wichita KS 67226
Fax: (316) 651-2660
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 04-41891 Kansas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 04-41891 Kansas

Profile Details

NPI number 1659626653
LBN Legal business name Boulad, Alaa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Jun 25th, 2019 - about 5 years ago

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 1659626653 NPPES
Kansas MEDICAID PENDING

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