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Contact Information

ALY A GADALLA, MD
1861 N ROCK RD STE 100
WICHITA, KS67206-1264
 Phone: 316-462-1070
 Fax: 316-462-1078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ALY A GADALLA · (Male)

NPI Number 1083693634
Status Active
Credentials MD
Entity Individual
Enumeration date 01/12/2006
Last updated 04/01/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 04-29832
  • KS License # 0429832
  • KS Medicaid 100640650S
Hospital affiliation(s) Not Available
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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