Healthcare Provider Details

I. General information

NPI: 1992719868
Provider Name (Legal Business Name): GHAZAL ABBAS SHAIKH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 11/01/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4811 S ARROWHEAD DR
INDEPENDENCE MO
64055-6981
US

IV. Provider business mailing address

8550 MARSHALL DR STE 200
LENEXA KS
66214-9836
US

V. Phone/Fax

Practice location:
  • Phone: 816-356-5000
  • Fax: 913-495-3742
Mailing address:
  • Phone: 816-356-5000
  • Fax: 913-495-3742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number200301
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: