Provider Demographics
NPI:1568454981
Name:DASOUKI, MAJED J (MD)
Entity Type:Individual
Prefix:DR
First Name:MAJED
Middle Name:J
Last Name:DASOUKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MAJED
Other - Middle Name:JAMIL JADALLAH
Other - Last Name:DASOUKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3409 W 144TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3972
Mailing Address - Country:US
Mailing Address - Phone:913-897-2474
Mailing Address - Fax:
Practice Address - Street 1:4620 J C NICHOLS PKWY
Practice Address - Street 2:SUITE 405
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1617
Practice Address - Country:US
Practice Address - Phone:816-960-0300
Practice Address - Fax:816-461-6586
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME145275207SC0300X, 207SG0202X, 207SG0201X
MO117706208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No207SC0300XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Cytogenetics
No207SG0202XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Biochemical Genetics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203958426Medicaid
MO27555OtherMISSOURI BNDD
MO27555OtherMISSOURI BNDD
MOBD5621708OtherDEA
KSBD8212083OtherDEA
F71477Medicare UPIN