Dr Fadi Jamil Odeh Al Muhaisen, | |
3243 E Murdock St, Wichita, KS 67208-3052 | |
(316) 500-8900 | |
Not Available |
Full Name | Dr Fadi Jamil Odeh Al Muhaisen |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3243 E Murdock St, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164710026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2015011039 (Missouri) | Secondary |
208000000X | Pediatrics | 04-39743 (Kansas) | Primary |
Entity Name | The Childrens Mercy Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20031118000182 |
Mailing Address | Practice Location Address |
---|---|
Dr Fadi Jamil Odeh Al Muhaisen, 2401 Gillham Rd., Provider Enrollment, Kansas City, MO 64108-4619 Ph: (816) 701-5200 | Dr Fadi Jamil Odeh Al Muhaisen, 3243 E Murdock St, Wichita, KS 67208-3052 Ph: (316) 500-8900 |
Patrick Bowen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N. Kansas, Wcgme, Wichita, KS 67214 Phone: 316-962-3030 | |
Dr. Cindy Daugherty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Deborah Anne Kroeker Alliston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Justin Alexander Mills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-962-3030 | |
Luke O Nichols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 | |
Kay Hocutt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 | |
Grace Nehme, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 |