Individual
SHAHAB FAREED ABDESSALAM
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, ATTN PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101277434
VA
208600000X
Surgery Physician
25MA11443500
NJ
2086S0102X
Surgical Critical Care Physician
23626
NE
2086S0102X
Surgical Critical Care Physician
25MA11443500
NJ
2086S0120X
Pediatric Surgery Physician
Primary
2024040742
MO
2086S0120X
Pediatric Surgery Physician
25MA11443500
NJ
2086S0120X
Pediatric Surgery Physician
T7790
TX
2086X0206X
Surgical Oncology Physician
04-51112
KS
2086X0206X
Surgical Oncology Physician
Primary
2024040742
MO
2086X0206X
Surgical Oncology Physician
23626
NE
2086X0206X
Surgical Oncology Physician
25MA11443500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0721167
—
IA
01
—
17-01116
UHC
—
01
—
250578
MIDLANDS CHOICE
—
01
—
30422
BCBS
NE
Enumeration date
11/18/2006
Last updated
02/24/2026
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