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General NPI Number Information
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NPI Number | 1316391246
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Entity Type | Individual
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Provider Name | IMAD FAKHANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | OUD METHA STREET AMERICAN HOSPITAL
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City | DUBAI
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State | DUBAI
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Zip | 5566
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Country | AE
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Telephone | 0097143776645
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Fax | 0097143776272
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Provider Business Mailing Address
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Address Line | 3611 N RUSHWOOD CT
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City | WICHITA
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State | KS
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Zip | 67226-2520
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Country | US
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Telephone | 316-990-1594
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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 | 0426777
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License Number State | KS
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