MEDICARE: DR. AMMAR H HAWASLI 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
1	207T00000X	Neurological Surgery Physician	2014021725	MO

General Provider Information

NPI Number	:	1750519112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMMAR H HAWASLI MD

Provider Business Mailing Address
First Line	:	2700 CLAY EDWARDS DR STE 240
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3254
Country	:	US
Telephone Number	:	816-691-5287
Fax Number	:	816-346-7690

Provider Business Practice Location Address
First Line	:	2750 CLAY EDWARDS DR STE 410
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3258
Country	:	US
Telephone Number	:	816-471-8114
Fax Number	:	816-842-5342

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	06/01/2020

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