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Individual

DR. ABDUL WADUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1543 S HILLSIDE ST, WICHITA, KS 67211-4018
(316) 682-6814
(316) 682-0110
Mailing address
1543 S HILLSIDE ST, WICHITA, KS 67211-4018
(316) 682-6814
(316) 682-0110

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
KS-04-16021
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100083140A
KS
01
48-0859151
FEDERAL ID NUMBER
KS
Enumeration date
07/22/2006
Last updated
03/07/2023
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