Provider Demographics
NPI:1982853610
Name:AL CHEKAKIE, M OBADAH (MD)
Entity Type:Individual
Prefix:
First Name:M OBADAH
Middle Name:
Last Name:AL CHEKAKIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9119 W 74TH ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2215
Mailing Address - Country:US
Mailing Address - Phone:913-789-3290
Mailing Address - Fax:
Practice Address - Street 1:9119 W 74TH ST
Practice Address - Street 2:SUITE 350
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-2215
Practice Address - Country:US
Practice Address - Phone:913-789-3290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036111416207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology