1588451520 NPI number — MR. KHALDOUN SALEH MAHMOUD KHREIS M.D

Table of content: (NPI 1982788501)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588451520 NPI number — MR. KHALDOUN SALEH MAHMOUD KHREIS M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KHREIS
Provider First Name:
KHALDOUN
Provider Middle Name:
SALEH MAHMOUD
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588451520
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 CARONEDELET DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64114-4673
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-943-5752
Provider Business Mailing Address Fax Number:
816-943-5762

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1004 CARONDELET DRIVE
Provider Second Line Business Practice Location Address:
#300
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64114-4673
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-943-4700
Provider Business Practice Location Address Fax Number:
816-943-5762
Provider Enumeration Date:
04/23/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  2025024576 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 390200000X , with the licence number: 2025024576 ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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