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Shahab Fareed Abdessalam, MD

Surgery, Surgical Oncology in Kansas City, MO. Individual provider (NPI-1).

NPI number1174697502
StatusActive
Last updated in NPPESFeb 24, 2026

Details

NPI
1174697502
Entity type
Individual (NPI-1)
Name
Shahab Fareed Abdessalam
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 18, 2006
Certification date
Feb 24, 2026
Last updated
Feb 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086X0206X Surgery, Surgical Oncology2024040742MOYes
2086X0206X Surgery, Surgical Oncology04-51112KS

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Phone 816-234-3000 · Fax 816-302-9939

Mailing address

2401 Gillham Rd
Attn Provider Enrollment Dept
Kansas City, MO 64108-4619

Phone 816-701-5200 · Fax 816-302-9939

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