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General NPI Number Information
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NPI Number | 1558339150
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Entity Type | Individual
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Provider Name | WAEL SAYED MOURAD MD
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 407 S CLAIRBORNE RD STE 104
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City | OLATHE
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State | KS
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Zip | 66062-1744
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Country | US
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Telephone | 913-648-2266
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Fax | 855-348-8430
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Provider Business Mailing Address
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Address Line | 405 S CLAIRBORNE RD STE 2
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City | OLATHE
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State | KS
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Zip | 66062-1774
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Country | US
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Telephone | 913-648-2266
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Fax | 855-348-8430
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2008034638
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036119085
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 41583
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 48713
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License Number State | WI
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