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Contact Information

ATABAK A KERMANI, MD
3500 S 4TH ST
LEAVENWORTH, KS66048-5043
 Phone: 913-680-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ATABAK A KERMANI · (Male)

NPI # 1407383870
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2017
Last updated 01/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # MD-46501
  • KS License # 04-45327
  • MO License # 2021045661
Hospital affiliation(s)
  • KEOKUK AREA HOSPITAL - (Acute Care)
    1600 MORGAN STREET
    KEOKUK, IA 52632
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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