DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IMAD QAYYUM, M.D.

Active

DR. IMAD QAYYUM, M.D. is a Colon & Rectal Surgery healthcare provider located in PALOS HEIGHTS, Illinois. NPI 1760776173 is currently active in the NPPES registry. Verify at CMS.

Colon & Rectal Surgery · PALOS HEIGHTS, IL

Registration Details

NPI Number
1760776173
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2011 (15.22376563368 yrs)
Last Updated
Jan 23, 2019
Licenses
036.143807 (IL)
036.143807 (IL)

Practice Information

Address
12255 S 80TH AVE
PALOS HEIGHTS, IL, 604631270
Browse IL providers · Browse ZIP 60463
Phone
7089234400
Fax
7089234421
Primary Specialty
Colon & Rectal Surgery
208C00000X
Additional Specialty
Colon & Rectal Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.