MEDICARE: WAEL SAYED MOURAD MD

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	207Q00000X	Family Medicine Physician	2008034638	MO
2	207Q00000X	Family Medicine Physician	036119085	IL
3	207Q00000X	Family Medicine Physician	41583	KS
4	207Q00000X	Family Medicine Physician	48713	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558339150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAEL SAYED MOURAD MD

Provider Business Mailing Address
First Line	:	405 S CLAIRBORNE RD STE 2
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1774
Country	:	US
Telephone Number	:	913-648-2266
Fax Number	:	855-348-8430

Provider Business Practice Location Address
First Line	:	407 S CLAIRBORNE RD STE 104
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1744
Country	:	US
Telephone Number	:	913-648-2266
Fax Number	:	855-348-8430

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	10/02/2025

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Directions to “ WAEL SAYED MOURAD MD” Practice Location

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