Maytham Abed Al-kubaisi

M.D | Pediatric Cardiology | Male

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Complete Profile:

Maytham Abed Al-kubaisi basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Maytham Abed Al-kubaisi
Other Name :	Maytham Abed Srayyih
Credential :	M.D
Gender :	Male

Business Address:

Maytham Abed Al-kubaisi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	7777 Forest Ln Bldg D Dallas, TX, 75230-2571 United States
Phone Number :	972-566-5600

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1154617355
NPI Entity Type :	Individual
First Enrolment Date :	26 Jun, 2011
Last Updated On :	01 Mar, 2021

Medicare Participation:

Maytham Abed Al-kubaisi participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0547560526
Medicare Enrollment ID :	I20170717002972
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1999
Accepts Medicare?	Yes. Maytham Abed Al-kubaisi accepts medicare insurance.

Group Practice Association:

Maytham Abed Al-kubaisi is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Maytham Abed Al-kubaisi is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Fetal Care Consultants, Llc.	0749466175	3	7777 Forest Ln Suite D 1190 Dallas, TX - 752302571 Ph: 9725665600	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maytham Abed Al-kubaisi are as mentioned. Primary taxonomy code for Maytham Abed Al-kubaisi, M.D is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	036.135831	IL
2080P0202X	Pediatrics Pediatric Cardiology	Yes	R2518	TX
2080P0202X	Pediatrics Pediatric Cardiology	No	036.135831	IL

Other Practice Locations:

Practice Address	City, State	Phone Number
1653 W CONGRESS PKWY, PAV 654F CHICAGO, IL, 60612-3833 United States	CHICAGO, IL	312-942-6800

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	4432 Lafite Ln Colleyville, TX, 76034-1477 United States
Phone Number :	682-554-5581

Business Location:

Patients can refer following map for directions to Maytham Abed Al-kubaisi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.