Healthcare Provider Details

I. General information

NPI: 1306887153
Provider Name (Legal Business Name): NABIL EL HALAWANY, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 S HOCKER DR SUITE 200
INDEPENDENCE MO
64055-4723
US

IV. Provider business mailing address

PO BOX 25365
SHAWNEE MISSION KS
66225-5365
US

V. Phone/Fax

Practice location:
  • Phone: 816-478-9802
  • Fax: 816-478-9804
Mailing address:
  • Phone: 913-248-9693
  • Fax: 913-248-9383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMDR9F99
License Number StateMO

VIII. Authorized Official

Name: NABIL EL HALAWANY
Title or Position: SOLE PROPRIETOR
Credential: MD
Phone: 816-478-9802