MIAN QAYYUM (NPI# 1336325356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336325356 |
| Entity Type | Individual |
| Full Name | MIAN QAYYUM |
| Credential | MD |
| Practice Address |
3496 E Lake Lansing Rd East Lansing MI 48823-2288 |
| Practice Telephone | 5173330968 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301035952 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3496 E LAKE LANSING RD |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477530269 | Graham M Kelly | Family Medicine | 3496 E Lake Lansing Rd, Ste. 160, East Lansing, MI 48823-2288 | 2005-12-22 |
| 1285264366 | Kaitlin Nicolle Hurley | Counselor | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2020-01-17 |
| 1326286675 | Michael C Kennerly | Physician Assistant | 3496 E Lake Lansing Rd, Suite 100, East Lansing, MI 48823-2288 | 2009-01-24 |
| 1558508283 | Judith E Daoust | Physician Assistant | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2009-01-16 |
| 1144489659 | Robert Lacy | General Practice | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2008-06-09 |
| 1063685550 | Kimberly Garcia | Physician Assistant | 3496 E Lake Lansing Rd, Suite 160, East Lansing, MI 48823-2288 | 2008-04-07 |
| 1508036856 | Diana Marble | Nurse Practitioner | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2008-03-03 |
| 1750565131 | William Warren | Emergency Medicine | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2007-12-21 |
| 1710166855 | Paul Piper | General Practice | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2007-10-25 |
| 1437348760 | Muhammad Mustafa | General Practice | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578660882 | Jane L Turner | Pediatrics | 138 Service Road, Suite A110, East Lansing, MI 48824-1313 | 2006-09-20 |
| 1063401594 | Bradley R. Hoopingarner | Pediatrics | 804 Service Rd # A110, East Lansing, MI 48824-7015 | 2005-10-18 |
| 1033111653 | Harrietta Christodoulos | Pediatrics | 804 Service Rd Ste A110, East Lansing, MI 48824-7015 | 2005-08-12 |
| 1912357146 | Allison Carlo Kidwell | Pediatrics | 307 W Lake Lansing Rd, East Lansing, MI 48823 | 2016-06-19 |
| 1245527159 | Ryan G Thomas | Pediatrics | 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823-6819 | 2011-06-30 |
| 1164738043 | Suad Khalil | Pediatrics | 804 Service Rd, A217, East Lansing, MI 48824-7015 | 2010-08-30 |
| 1649424318 | Cori Ann Hemming | Pediatrics | 307 W Lake Lansing Rd, East Lansing, MI 48823-1437 | 2008-11-07 |
| 1386824159 | Kripa Thakur | Pediatrics | 804 Service Rd # A110, East Lansing, MI 48824-7015 | 2007-11-09 |
| 1356539340 | Pragna Harish Pandya | Pediatrics | 3496 E Lake Lansing Rd, East Lansing, MI 48823-2288 | 2007-10-04 |
| 1205055464 | Fareeha Naz | Pediatrics | 1215 E Michigan Ave, East Lansing, MI 48912 | 2007-04-25 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.