Provider Demographics
NPI:1013163211
Name:ALBAHHAR, MAJDY ALI A (MD)
Entity Type:Individual
Prefix:
First Name:MAJDY
Middle Name:ALI A
Last Name:ALBAHHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MAJDY
Other - Middle Name:ALI
Other - Last Name:ALBAHHAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2200 SW 6TH AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1707
Mailing Address - Country:US
Mailing Address - Phone:785-354-8518
Mailing Address - Fax:785-354-1255
Practice Address - Street 1:4201 B ANDERSON AVENUE
Practice Address - Street 2:SUITE 2
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503
Practice Address - Country:US
Practice Address - Phone:785-320-7774
Practice Address - Fax:785-320-7758
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272463207N00000X
FLME121099207ND0900X, 390200000X
KS04-37868207ND0900X, 207ND0101X
DC147665207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program