Provider Demographics
NPI:1114906864
Name:EID, ALBERT J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:J
Last Name:EID
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BOULEVARD
Mailing Address - Street 2:6067 DELP, MAIL STOP 1028
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-6035
Mailing Address - Fax:913-945-6916
Practice Address - Street 1:3901 RAINBOW BOULEVARD
Practice Address - Street 2:6067 DELP, MAIL STOP 1028
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-6035
Practice Address - Fax:913-945-6916
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2014-05-08
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Provider Licenses
StateLicense IDTaxonomies
KS04-32342207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN802943100Medicaid
KS200430560AMedicaid
011F342AMedicare PIN
I07484Medicare UPIN
MN802943100Medicaid