Mahmoud Wahba, M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R4J42 Issued in MO

Legal business name

MAHMOUD WAHBA, M.D., P.A.

Doing business as

Mahmoud Wahba, MD

Practice address

1010 Carondelet Dr
Suite 405
Kansas City, MO 64114-4859

Phone

(816) 941-0145

Fax

(816) 941-3802

NPI assigned

Apr 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahmoud Wahba, MDNPI 1881658771

Title

President

Phone

(816) 941-0145

Specialties & licenses 1

Addresses

Other names 1

• MAHMOUD WAHBA, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahmoud Wahba, MD

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1881658771

  KS

  Medicare reassignment NPD Authorized official
• Sonja Maria Cornley, PA

  • Physician Assistant
  • Kansas City, MO
  • NPI 1548444334
  NPD (past)
• Samar M Wahba

  • Professional Counselor
  • Kansas City, MO
  • NPI 1982520904
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972567287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25833",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662255833",
            "telephone_number": "913-248-9693",
            "fax_number": "913-248-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR",
            "address_2": "SUITE 405",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-941-0145",
            "fax_number": "816-941-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHMOUD WAHBA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAHBA",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-941-0145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R4J42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAHMOUD WAHBA, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darcy Erin Maher, LMSW
• Kaitlin Maher
• Fouzia Mahmood, FNP-C
• Tayyibah Mahmood
• Zafar Mahmood, MD
• Lirio U Mahmoud, M.D.
• Said F Mahmoud, MD, FCCP
• Tahar Malek Mahmoudi, MD
• Brittany Mahone
• Brian Mahoney, DO

• Psychiatry Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.