AL MAMON ABU GHANIMAH

COTTON ONEIL CLINIC REVOCABLE TRUST

Dr AL MAMON ABU GHANIMAH is a male medical professional, specializing in Hospitalist. He graduated in 2009.

Contact

COTTON ONEIL CLINIC REVOCABLE TRUST

1500 SW 10TH AVE
TOPEKA
KS
666041301

Tel: 7853546000

AL MAMON ABU GHANIMAH Information

Npi 1417239013
Pac Id 5395963714
Professional Enrollment Id I20140827001104
Last Name ABU GHANIMAH
First Name AL MAMON
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty HOSPITALIST
Secondary Specialty 1 INTERNAL MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties INTERNAL MEDICINE
Organization Legal Name COTTON ONEIL CLINIC REVOCABLE TRUST
Group Practice Pac Id 5496659195
Number Of Group Practice Members 504
Line 1 Street Address 1500 SW 10TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TOPEKA
State KS
Zip Code 666041301
Phone Number 7853546000
Hospital Affiliation Ccn 1 170086
Hospital Affiliation Lbn 1 STORMONT VAIL HOSPITAL
Hospital Affiliation Ccn 2 170142
Hospital Affiliation Lbn 2 MERCY REGIONAL HEALTH CENTER
Hospital Affiliation Ccn 3 171384
Hospital Affiliation Lbn 3 NEWMAN REGIONAL HEALTH
Hospital Affiliation Ccn 4 170016
Hospital Affiliation Lbn 4 ST FRANCIS HEALTH CENTER
Hospital Affiliation Ccn 5 170074
Hospital Affiliation Lbn 5 GEARY COMMUNITY HOSPITAL
Professional Accepts Medicare Assignment Y

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