MEDICARE: MARGHOOB ABBAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	2005000470	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00714627	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	42233019	OTHER	KS	BCBSKS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	42233019	OTHER	MO	BCBSKC
6	7458740	OTHER	MO	AETNA

General Provider Information

NPI Number	:	1588603781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGHOOB ABBAS M.D.

Provider Business Mailing Address
First Line	:	901 HEARTLAND RD.,
Second Line	:	STE. 3800
City	:	ST. JOSEPH
State	:	MO
Zip	:	64506-6201
Country	:	US
Telephone Number	:	816-671-4800
Fax Number	:	816-233-4021

Provider Business Practice Location Address
First Line	:	901 HEARTLAND RD.,
Second Line	:	STE. 3800
City	:	ST. JOSEPH
State	:	MO
Zip	:	64506-6201
Country	:	US
Telephone Number	:	816-671-4800
Fax Number	:	816-233-4021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	12/28/2020

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