Healthcare Provider Details

I. General information

NPI: 1538547419
Provider Name (Legal Business Name): SAQIB HUSSEN ABBASI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2015
Last Update Date: 04/15/2022
Certification Date: 04/23/2021
Deactivation Date: 12/14/2015
Reactivation Date: 02/08/2016

III. Provider practice location address

2330 SHAWNEE MISSION PKWY
WESTWOOD KS
66205-2005
US

IV. Provider business mailing address

4000 CAMBRIDGE ST
KANSAS CITY KS
66160-8501
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-7750
  • Fax:
Mailing address:
  • Phone: 786-797-2635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number04-44945
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: