Healthcare Provider Details

I. General information

NPI: 1891768172
Provider Name (Legal Business Name): SAIMA UBAID KHAWAJA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 05/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 E MEYER BLVD
KANSAS CITY MO
64132-1136
US

IV. Provider business mailing address

2316 E MEYER BLVD
KANSAS CITY MO
64132-1136
US

V. Phone/Fax

Practice location:
  • Phone: 816-276-4360
  • Fax: 816-795-8171
Mailing address:
  • Phone: 816-276-4360
  • Fax: 816-795-8171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2011005776
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2011005776
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: