Healthcare Provider Details

I. General information

NPI: 1598939787
Provider Name (Legal Business Name): SAHIBU SULTAN MURTAZA HABEEBU MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SAHIBU SULTAN MURTAZA HABEEBU MD PHD

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

2401 GILLHAM RD ATTN: PROVIDER ENROLLMENT DEPT
KANSAS CITY MO
64108-4619
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3000
  • Fax: 816-302-9939
Mailing address:
  • Phone: 816-234-3000
  • Fax: 816-302-9939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number2004029288
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number04-34118
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: