Individual
WASSIM SHAHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 N WEBB RD, WICHITA, KS 67226-8127
(316) 686-5300
(316) 686-5358
Mailing address
3535 N WEBB RD, WICHITA, KS 67226-8127
(316) 686-5300
(316) 686-5358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31247
KS
207RC0000X
Cardiovascular Disease Physician
Primary
31247
KS
207RI0011X
Interventional Cardiology Physician
31247
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105573
BLUE CROSS BLUE SHIELD
KS
05
—
200311310C
—
KS
01
—
P00320897
RAILROAD MEDICARE
KS
Enumeration date
06/10/2006
Last updated
01/23/2019
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