Provider Demographics
NPI:1760112197
Name:QADEER, MAAHEM (DDS)
Entity Type:Individual
Prefix:
First Name:MAAHEM
Middle Name:
Last Name:QADEER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E GREENBRIAR LN APT 1426
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1141
Mailing Address - Country:US
Mailing Address - Phone:316-461-9429
Mailing Address - Fax:
Practice Address - Street 1:7272 E 37TH ST N APT 315
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-3208
Practice Address - Country:US
Practice Address - Phone:316-461-9429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-17
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS619071223G0001X
TX39299122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty