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NPI Code Detail

MEDICARE: DR. WALAA MAHMOUD MOHAMMAD AL JAWARNEH MD

MEDICARE: DR. WALAA MAHMOUD MOHAMMAD AL JAWARNEH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician94-12118KS
22084P0804XChild & Adolescent Psychiatry Physician2025036307MO

General Provider Information

NPI Number : 1508509910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALAA MAHMOUD MOHAMMAD AL JAWARNEH MD
Provider Business Mailing Address
First Line : 8000 W 127TH ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66213-2714
Country : US
Telephone Number : 913-688-6492
Fax Number :
Provider Business Practice Location Address
First Line : 8000 W 127TH ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66213-2714
Country : US
Telephone Number : 913-588-6492
Fax Number : 913-588-6414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 03/12/2026

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