Individual
ASSAD U. SHAFFIEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2925 CLINTON RD, SEDALIA, MO 65301-7915
(660) 829-5852
(660) 829-5854
Mailing address
2925 CLINTON RD, SEDALIA, MO 65301-7915
(660) 829-5852
(660) 829-5854
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
115544
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200057
UNITED HEALTHCARE
MO
05
—
18833
—
MO
01
—
25282044
BCBS OF KANSAS CITY
MO
05
—
372430
—
MO
01
—
392869
HEALTHLINK
MO
05
—
9518
—
MO
01
—
G85947
MERCY
MO
Enumeration date
06/10/2006
Last updated
07/09/2007
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