Individual
DR. NUHAD AFIF KULAYLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1012 SHADELAND AVE, DREXEL HILL, PA 19026-1913
(573) 334-9564
(573) 334-1879
Mailing address
1349 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1727
(573) 334-9564
(573) 334-1879
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036-107478
IL
207RN0300X
Nephrology Physician
Primary
2002006960
MO
207RN0300X
Nephrology Physician
E-3226
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096560
HEALTH ALLIANCE
—
01
—
110237678
RAIL ROAD MEDICARE
—
05
—
148096001
—
AR
01
—
158646
BLUE CROSS BLUE SHIELD
MO
05
—
205990708
—
MO
05
—
205990716
—
MO
01
—
2104551
COVENTRY HEALTHCARE
—
01
—
481120
HEALTHLINK
MO
01
—
5M291
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/12/2006
Last updated
04/06/2021
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