MAISAM AL PATTY
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1396239257- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 550 N HILLSIDE ST, WICHITA, KS, 672144910
- Phone
- (316) 293-1818
Specialties & Taxonomies
Internal Medicine
Primary License: KS #94-09615