Abdessalam, Shahab Fareed
Abdessalam, Shahab Fareed is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Abdessalam, Shahab Fareed can be contacted via phone (816) 234-3000.Contact Information
Primary practice address
2401 Gillham Rd
Kansas City MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 04-51112 | Kansas |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 2024040742 | Missouri |
Profile Details
| NPI number | 1174697502 |
|---|---|
| LBN Legal business name | Abdessalam, Shahab Fareed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2006 |
| Last updated | Feb 24th, 2026 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174697502 | NPPES |
| Nebraska | Other | 30422 | BCBS |
| Nebraska | Other | 17-01116 | BCBS |
| Nebraska | MEDICAID | 0721167 | BCBS |
| Nebraska | Other | 250578 | BCBS |
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