Healthcare Provider Details

I. General information

NPI: 1881398121
Provider Name (Legal Business Name): ZAIN ADEL AL-MOMANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ZAIN ADEL AL-MOMANI MD

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 HOLMES STREET
KANSAS CITY MO
64108
US

IV. Provider business mailing address

551 W 44TH ST APT 339
KANSAS CITY MO
64111-3894
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-4175
  • Fax:
Mailing address:
  • Phone: 312-358-7723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1026628
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: