Provider Demographics
NPI:1811203292
Name:ABUAMR, KHALIL M (MD)
Entity Type:Individual
Prefix:DR
First Name:KHALIL
Middle Name:M
Last Name:ABUAMR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:720 SW LANE ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1539
Mailing Address - Country:US
Mailing Address - Phone:785-270-4800
Mailing Address - Fax:785-270-4877
Practice Address - Street 1:720 SW LANE ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1539
Practice Address - Country:US
Practice Address - Phone:785-270-4800
Practice Address - Fax:785-270-4877
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015042550207RG0100X
KS04-42413207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1811203292Medicaid