Abdelhadi, Ruba Azzam

Abdelhadi, Ruba Azzam is an individual health care provider with primary practice located at 2401 Gillham Rd Rm 3503.00, Kansas City MO 64108-4619. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Abdelhadi, Ruba Azzam can be contacted via phone (816) 234-3106.

Contact Information

Primary practice address
2401 Gillham Rd Rm 3503.00 Kansas City MO 64108-4619
Phone: (816) 234-3106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301077527 Michigan
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 4301077527 Michigan
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X N7898 Texas
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 2013025648 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2013025648 Missouri

Profile Details

NPI number 1184824179
LBN Legal business name Abdelhadi, Ruba Azzam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Jul 23rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184824179 NPPES
Texas MEDICAID 208259601
Texas Other 208259602

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