Individual
RAE SHARAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
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 DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1503262
KS
363A00000X
Physician Assistant
Primary
2026014421
MO
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
07/18/2026
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