| Maryam Qayum, MD | |
|
22704 Loop 494 Ste E, Kingwood, TX 77339-2858 | |
| (832) 583-7264 | |
| (832) 583-7244 |
| Full Name | Maryam Qayum |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 22704 Loop 494 Ste E, Kingwood, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497814966 | NPI | - | NPPES |
| 1492701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | K6250 (Texas) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | K6250 (Texas) | Primary |
| Entity Name | Emergency Hospital Systems Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992172019 PECOS PAC ID: 2567765761 Enrollment ID: O20170607000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryam Qayum, MD 22704 Loop 494 Ste E, Kingwood, TX 77339-2858 Ph: (832) 583-7264 | Maryam Qayum, MD 22704 Loop 494 Ste E, Kingwood, TX 77339-2858 Ph: (832) 583-7264 |
Anand M Allam, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 22999 Us-59 N, Kingwood, TX 77339 Phone: 281-348-8000 Fax: 281-724-3100 | |
Craig Ditommaso, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 22999 Us-59 N, Kingwood, TX 77339 Phone: 281-348-8000 |