Provider Demographics
NPI:1588313431
Name:EL ALAYLI, ABDALLAH
Entity type:Individual
Prefix:
First Name:ABDALLAH
Middle Name:
Last Name:EL ALAYLI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 EMANUEL CLEAVER II BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1758
Mailing Address - Country:US
Mailing Address - Phone:816-308-9787
Mailing Address - Fax:
Practice Address - Street 1:209 EMANUEL CLEAVER II BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1758
Practice Address - Country:US
Practice Address - Phone:816-308-9787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-19
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MONA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine