Individual
DR. RUBA AZZAM ABDELHADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, RM 3503.00, KANSAS CITY, MO 64108-4619
(816) 234-3106
Mailing address
2401 GILLHAM RD, RM 3503.00, KANSAS CITY, MO 64108-4619
(816) 234-3106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2013025648
MO
208000000X
Pediatrics Physician
4301077527
MI
2080P0206X
Pediatric Gastroenterology Physician
Primary
2013025648
MO
2080P0206X
Pediatric Gastroenterology Physician
4301077527
MI
2080P0206X
Pediatric Gastroenterology Physician
N7898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208259601
—
TX
01
—
208259602
CSHCN
TX
Enumeration date
07/19/2007
Last updated
07/23/2013
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