Individual
DR. LIBABAH KOBAISY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
(417) 820-2100
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-8600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125055109
IL
207R00000X
Internal Medicine Physician
2012015981
MO
208M00000X
Hospitalist Physician
2012015981
MO
208M00000X
Hospitalist Physician
Primary
83108
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073840773
—
MO
05
—
193956001
—
AR
01
—
431560263
TRICARE
MO
01
—
P01089902
RR MCR
MO
Enumeration date
11/17/2009
Last updated
07/08/2025
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