1851384309 NPI number — ABDEL K TAYIEM M.D.

Table of content: ABDEL K TAYIEM M.D. (NPI 1851384309)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851384309 NPI number — ABDEL K TAYIEM M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAYIEM
Provider First Name:
ABDEL
Provider Middle Name:
K
Provider Name Prefix Text:
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:
TAYIEM
Provider Other First Name:
A
Provider Other Middle Name:
K
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1851384309
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
625 COMMERCIAL
Provider Second Line Business Mailing Address:
STE. 7
Provider Business Mailing Address City Name:
ATCHISON
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-367-3900
Provider Business Mailing Address Fax Number:
913-367-3904

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
625 COMMERCIAL
Provider Second Line Business Practice Location Address:
STE 7
Provider Business Practice Location Address City Name:
ATCHISON
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-367-3900
Provider Business Practice Location Address Fax Number:
913-367-3904
Provider Enumeration Date:
08/30/2005

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: 208600000X , with the licence number:  04-15418 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 100082110 C , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10898 . This is a "COVENTRY HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4583740 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 136352 . This is a "HEALTHLINK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100082110 B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1417220534 . This is a "GROUP NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 08677011 . This is a "BLUE CROSS BLUE SHIELD OF KANSAS CITY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1700416 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 002603 . This is a "BLUE CROSS BLUE SHIELD OF KANSAS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200650307 . This is a "MEDICAID OF MISSOURI" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 3742 . This is a "PREFERRED HEALTH SYTEMS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 020009556 . This is a "PALMETTO GBA -RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com