DR. RUBA AZZAM ABDELHADI MD NPI 1184824179

NPI Information

NPI: 1184824179
Provider Name: DR. RUBA AZZAM ABDELHADI, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

PECOS Registration: Yes

Address:
2401 GILLHAM RD
RM 3503.00
KANSAS CITY, MO
ZIP 64108
Phone: (816) 234-3106
Get Directions

DR. Ruba Azzam Abdelhadi, MD is a pediatric gastroenterology pediatrics in Kansas City, MO. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Ruba Azzam Abdelhadi, MD NPI is 1184824179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2401 GILLHAM RD
RM 3503.00
KANSAS CITY, MO
ZIP 64108-619
Phone: (816) 234-3106

The NPI 1184824179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		4301077527	MICHIGAN	No
2	2080P0206X	Pediatrics	Pediatric Gastroenterology	4301077527	MICHIGAN	No
3	2080P0206X	Pediatrics	Pediatric Gastroenterology	N7898	TEXAS	No
4	208000000X	Pediatrics		2013025648	MISSOURI	No
5	2080P0206X	Pediatrics	Pediatric Gastroenterology	2013025648	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	208259602	OTHER	TEXAS	CSHCN
2	208259601	MEDICAID	TEXAS
3	8L19390	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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