Individual provider · Type 1 NPI

Fadi Jamil Odeh Al Muhaisen

Pediatric Endocrinology Physician · Wichita, KS

NPI number 1164710026 Active

Practice location

3243 E Murdock St
Wichita, KS 67208-3052

Fax (816) 302-9939

Mailing address

2401 Gillham Rd, Provider Enrollment Dept
Kansas City, MO 64108-4619

Specialties and licenses

TaxonomyCodeLicense
Pediatric Endocrinology Physician 2080P0205X2015011039 (MO)
Pediatric Endocrinology Physician Primary 2080P0205X04-39743 (KS)

Pediatric Endocrinology Physician: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

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About NPI 1164710026

Fadi Jamil Odeh Al Muhaisen's National Provider Identifier is 1164710026, issued on Jul 13, 2011. The primary taxonomy on file is Pediatric Endocrinology Physician (2080P0205X), and the practice location is in Wichita, KS. The record was last updated on Nov 25, 2025.