Provider Demographics
NPI:1306887153
Name:NABIL EL HALAWANY, MD
Entity type:Organization
Organization Name:NABIL EL HALAWANY, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:
Authorized Official - Last Name:EL HALAWANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-478-9802
Mailing Address - Street 1:PO BOX 25365
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66225-5365
Mailing Address - Country:US
Mailing Address - Phone:913-248-9693
Mailing Address - Fax:913-248-9383
Practice Address - Street 1:4205 S HOCKER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-4723
Practice Address - Country:US
Practice Address - Phone:816-478-9802
Practice Address - Fax:816-478-9804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMDR9F992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202542320Medicaid
MO202542320Medicaid
MO0007173Medicare ID - Type Unspecified