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NPI Code Detail

MEDICARE: DR. SOBIA H SHAFFIE MD

MEDICARE: DR. SOBIA H SHAFFIE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician2000164191MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
330130012OTHERBCBS OF KC

General Provider Information

NPI Number : 1003886888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOBIA H SHAFFIE MD
Provider Business Mailing Address
First Line : 17844 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1840
Country : US
Telephone Number : 816-836-6705
Fax Number : 816-257-2575
Provider Business Practice Location Address
First Line : 17844 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1840
Country : US
Telephone Number : 816-836-6705
Fax Number : 816-257-2575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 06/09/2022

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