MEDICARE: DR. MAJED J DASOUKI 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	207SC0300X	Clinical Cytogenetics Physician	ME145275	FL
2	207SG0202X	Clinical Biochemical Genetics Physician	ME145275	FL
3	208000000X	Pediatrics Physician	117706	MO
4	207SG0201X	Clinical Genetics (M.D.) Physician	ME145275	FL

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	27555	OTHER	MO	MISSOURI BNDD

General Provider Information

NPI Number	:	1568454981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAJED J DASOUKI MD

Provider Business Mailing Address
First Line	:	3409 W 144TH ST
Second Line	:
City	:	LEAWOOD
State	:	KS
Zip	:	66224-3972
Country	:	US
Telephone Number	:	913-897-2474
Fax Number	:

Provider Business Practice Location Address
First Line	:	4620 J C NICHOLS PKWY
Second Line	:	SUITE 405
City	:	KANSAS CITY
State	:	MO
Zip	:	64112-1617
Country	:	US
Telephone Number	:	816-960-0300
Fax Number	:	816-461-6586

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	03/07/2023

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