Individual provider · NPI-1
Maryam Qayum, MD
Physical Medicine & Rehabilitation, Pain Medicine · Kingwood, TX
NPI number1497814966
StatusActive
Last updated in NPPESMay 10, 2022
Details
- NPI
- 1497814966
- Entity type
- Individual (NPI-1)
- Name
- Maryam Qayum
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2006
- Certification date
- May 10, 2022
- Last updated
- May 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | K6250 | TX | Yes |
| 208100000X | Physical Medicine & Rehabilitation | K6250 | TX |
Practice location
22704 Loop 494 Ste EKingwood, TX 77339-2858
Phone 832-583-7264 · Fax 832-583-7244
Mailing address
22704 Loop 494 Ste EKingwood, TX 77339-2858
Phone 832-583-7264 · Fax 832-583-7244
Other practice locations
201 Kingwood Medical Dr Ste A500
Kingwood, TX 77339-6014
Kingwood, TX 77339-6014
Phone 832-978-0448
21660 Kingsland Blvd Ste 200
Katy, TX 77450-2540
Katy, TX 77450-2540
Phone 832-978-0448
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