Provider Demographics
NPI:1467016253
Name:OKASHA, OSAMA MAHMOUD (MD)
Entity Type:Individual
Prefix:
First Name:OSAMA
Middle Name:MAHMOUD
Last Name:OKASHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MO-KANSAS CITY SCHOOL OF MEDICINE
Mailing Address - Street 2:2411 HOLMES, M2-302, GRADUATE MEDICIAL EDUCATION
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108
Mailing Address - Country:US
Mailing Address - Phone:816-235-6627
Mailing Address - Fax:816-235-6629
Practice Address - Street 1:TRUMAN MEDICIAL CENTER
Practice Address - Street 2:2301 HOLMES, DEPT OF INTERNAL MEDICINE
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-404-1000
Practice Address - Fax:816-404-9480
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2019-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
MO2019018774207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program