Individual
ABDEL K TAYIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 COMMERCIAL, STE 7, ATCHISON, KS 66002
(913) 367-3900
(913) 367-3904
Mailing address
625 COMMERCIAL, STE. 7, ATCHISON, KS 66002
(913) 367-3900
(913) 367-3904
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-15418
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002603
BLUE CROSS BLUE SHIELD OF KANSAS
—
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 HEALTH CARE
—
01
—
136352
HEALTHLINK
—
01
—
1417220534
GROUP NPI
—
01
—
1700416
UNITED HEALTH CARE
—
01
—
200650307
MEDICAID OF MISSOURI
MO
01
—
3742
PREFERRED HEALTH SYTEMS
—
01
—
4583740
AETNA
—
Enumeration date
08/30/2005
Last updated
01/11/2013
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