Individual
DR. BAHA'UDDIN AL-SHAWWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
01064836
IN
2080S0012X
Pediatric Sleep Medicine Physician
0439109
KS
2080S0012X
Pediatric Sleep Medicine Physician
Primary
2016017549
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200901530
—
IN
01
—
P01512407
MEDICARE RR PTAN
IN
Enumeration date
05/12/2006
Last updated
11/06/2025
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