Active NPI
Tasneem Saleh Alaqzam
- Hospitalist Physician
- Wichita, KS
National Provider Identifier
1396024006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 04-40623
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4910 - Phone
- (316) 962-2000
- Fax
- (303) 306-7753
- NPI assigned
- Aug 11, 2011
- Last updated
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-40623 | KS | |
| Hospitalist Physician | 208M00000X | 04-40623 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4910
Mailing address
Ku Wichita General Pediatric 620 N Carriage Pkwy
620 N Carriage Parkway
Wichita, KS 67208-4501
Other practice location 1
620 N Carriage Pkwy
Wichita, KS 67208-4501
Phone (414) 266-2754
Other practice location 2
707 N Emporia St
Wichita, KS 67214-3707
Phone (316) 858-3460
Other names 1
- Tasneem Saleh Alaqzam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1396024006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KU WICHITA GENERAL PEDIATRIC 620 N CARRIAGE PKWY",
"address_2": "620 N CARRIAGE PARKWAY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672084501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-962-2000",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [
{
"address_1": "620 N Carriage Pkwy",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672084501",
"country_code": "US",
"telephone_number": "414-266-2754",
"fax_number": "414-337-7020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 N Emporia St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672143707",
"country_code": "US",
"telephone_number": "316-858-3460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALAQZAM",
"first_name": "TASNEEM",
"middle_name": "SALEH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-40623",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KS",
"license": "04-40623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TASNEEM",
"last_name": "ALAQZAM",
"middle_name": "SALEH",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.