Organization
ABDEL KARIM HASAN JABER TAYIEM, M.D., P.A.
Active
Parent organization
ABDEL KARIM HASASN JABER TAYIEM, M.D., P.A.
Other names
A. K.Tayiem, M.D., P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABDEL KARIM HASASN JABER TAYIEM, M.D., P.A.
Authorized official
DR. ABDEL KARIM HASAN JABER TAYIEM M.D. (PRESIDENT OF CORPORATION)
(913) 367-3900
Entity
Organization
Contact information
Practice address
625 COMMERCIAL ST, STE 7, ATCHISON, KS 66002-2402
(913) 367-3900
(913) 367-3904
Mailing address
625 COMMERCIAL ST, STE 7, ATCHISON, KS 66002-2402
(913) 367-3900
(913) 367-3904
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002603
MEDICARE PTAN
KS
01
—
020009556
PALMETTO GBA- RAILROAD MEDICARE
—
01
—
08677011
BLUE CROSS BLUE SHIELD OF KANSAS CITY
—
05
—
100082110 B
—
KS
05
—
100082110 C
—
KS
01
—
10898
COVENTRY HEALTHCARE
—
01
—
136352
HEALTHLINK
—
01
—
1700416
UNITED HEALTHCARE
—
01
—
1851384309
UNICARE HEALTH PLAN OF KANSAS
KS
01
—
1851384309
INDIVIDUAL NPI
—
01
—
200650307
MEDICAID OF MISSOURI
MO
01
—
263689
HUMANA
—
01
—
3742
PEFERRED HEALTH SYSTEMS
—
01
—
4583740
AETNA
—
01
—
462005
CHILDRENS MERCY FAMILY HEALTH PARTNERS
KS
Enumeration date
02/21/2012
Last updated
04/03/2012
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