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Individual

TAMIM QAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1947 FOUNDERS ST, WICHITA, KS 67206-3548
(316) 858-2020
(316) 858-2025
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31720
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105479
BCBS
KS
Enumeration date
06/09/2006
Last updated
07/13/2007
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