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General NPI Number Information
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NPI Number | 1033850284
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Entity Type | Individual
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Provider Name | ADNAN ISLAM MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2022
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1000 CARONDELET DR
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City | KANSAS CITY
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State | MO
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Zip | 64114-4673
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Country | US
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Telephone | 816-942-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 15723 S WIDMER ST
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City | OLATHE
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State | KS
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Zip | 66062-4673
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Country | US
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Telephone | 913-909-0067
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2022023681
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License Number State | MO
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