Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 04-27401 | KS |
Y | 111NI0900X | Internist | 04-27401 | KS |
N | 207R00000X | Internist | 113668 | MO |
N | 111NI0900X | Internist | 113668 | MO |
NPI | 1003800459 |
---|---|
Provider Name | Louay K. Sabih |
First Address | Overland Park, KS 66212-2557 |
Second Address | Overland Park, KS 66212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 11/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
KA2206001 | (02) | KS |
MA3358001 | (02) | MO |
MA4179001 | (02) | MO |