Healthcare Provider Details

I. General information

NPI: 1023351905
Provider Name (Legal Business Name): KAHLIL NABIL SAAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2013
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 N WEBB RD
WICHITA KS
67226-8110
US

IV. Provider business mailing address

2626 N WEBB RD
WICHITA KS
67226-8110
US

V. Phone/Fax

Practice location:
  • Phone: 316-636-6100
  • Fax: 316-636-5813
Mailing address:
  • Phone: 316-636-6100
  • Fax: 316-636-5813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number01080091A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License Number04-43389
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: