Provider Demographics
NPI:1295110062
Name:QAYUM, QADIUM YEAMA (OD)
Entity type:Individual
Prefix:DR
First Name:QADIUM
Middle Name:YEAMA
Last Name:QAYUM
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 NW 88TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64154-2700
Mailing Address - Country:US
Mailing Address - Phone:816-746-9800
Mailing Address - Fax:816-587-3555
Practice Address - Street 1:1004 PROGRESS DR STE 215
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-6323
Practice Address - Country:US
Practice Address - Phone:913-682-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2035152W00000X
MO2015021543152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist