Abdul Wadud, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

KS-04-16021 Issued in KS

Practice address

1543 S Hillside St
Wichita, KS 67211-4018

Phone

(316) 682-6814

Fax

(316) 682-0110

NPI assigned

Jul 22, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861413015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114018",
            "telephone_number": "316-682-6814",
            "fax_number": "316-682-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114018",
            "telephone_number": "316-682-6814",
            "fax_number": "316-682-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADUD",
        "first_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "KS-04-16021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID NUMBER",
            "identifier": "48-0859151",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083140A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurinda Wade, CRNA
• Paul David Wade, RPH
• Teresa Wade, L.M.P.
• Katherine Ruth Wadsworth, PT, DPT
• Shawn Wadsworth, D.O.
• Saeed E Wadud, MD
• Jason E Wagle, DDS
• Christine Michelle Wagner, LSCSW
• Debra E Wagner, ARNP, CCRN
• Irene K Wagner, M.A., C.C.C.-A.

• Psychiatry Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.