Healthcare Provider Details

I. General information

NPI: 1891369609
Provider Name (Legal Business Name): AHMED SBAIH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W 32ND ST STE 1
JOPLIN MO
64804-2533
US

IV. Provider business mailing address

522 W 32ND ST STE 1
JOPLIN MO
64804-2533
US

V. Phone/Fax

Practice location:
  • Phone: 417-782-5000
  • Fax: 417-782-2945
Mailing address:
  • Phone: 417-782-5000
  • Fax: 417-782-2945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0450844
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2025030370
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: