MEDICARE: MAAHEM QADEER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	61907	KS
2	122300000X	Dentist	39299	TX

General Provider Information

NPI Number	:	1760112197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAAHEM QADEER DDS

Provider Business Mailing Address
First Line	:	333 E GREENBRIAR LN APT 1426
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1141
Country	:	US
Telephone Number	:	316-461-9429
Fax Number	:

Provider Business Practice Location Address
First Line	:	7272 E 37TH ST N APT 315
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67226-3208
Country	:	US
Telephone Number	:	316-461-9429
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2022
Last Update Date	:	02/28/2023

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Directions to “ MAAHEM QADEER DDS” Practice Location

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