Nassif, Imad I
Nassif, Imad I is an sole proprietor health care provider with primary practice located at 9050 E 29Th St N Suite 100, Wichita KS 67226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nassif, Imad I can be contacted via phone (316) 219-9651.Contact Information
Primary practice address
9050 E 29Th St N Suite 100
Wichita KS 67226
Phone: (316) 219-9651
Fax: (316) 219-9655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0428527 | Kansas |
Profile Details
| NPI number | 1043286453 |
|---|---|
| LBN Legal business name | Nassif, Imad I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Sep 29th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043286453 | NPPES |
| Other | 102935 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 1003616808 | BLUE CROSS BLUE SHIELD |
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