Individual
DR. SABATO A SISILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16663 MIDLAND DR, SUITE 100, SHAWNEE, KS 66217-3042
(913) 268-5400
(913) 268-5410
Mailing address
PO BOX 25787, SHAWNEE MISSION, KS 66225-5787
(913) 268-5400
(913) 268-5410
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
04-25382
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100179450C
—
KS
05
—
208041145
—
MO
01
—
22356075
BCBS KANSAS CITY
—
Enumeration date
09/20/2006
Last updated
05/12/2017
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