SearchKansas183500000X

Azam Ghanadian

NPI 1992174809 · on the registry since 2015

Practice

Address
11411 E Kellogg Dr
Wichita, KS 67207
Phone
(316) 683-1023
Fax
(316) 683-1023
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
1835P0018X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas