Provider Demographics
NPI:1821083494
Name:HALEEM, ABDUL AHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:AHAD
Last Name:HALEEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2500 CANTERBURY DR
Mailing Address - Street 2:SUITE 112
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2247
Mailing Address - Country:US
Mailing Address - Phone:785-628-8221
Mailing Address - Fax:785-628-3264
Practice Address - Street 1:2500 CANTERBURY DR
Practice Address - Street 2:SUITE 112
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2247
Practice Address - Country:US
Practice Address - Phone:785-628-8221
Practice Address - Fax:785-628-3264
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS430439207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200260930AMedicaid
KS103762Medicare PIN
KSI08160Medicare UPIN