Individual
DR. SHAIS SHAFI JALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4321 WASHINGTON ST, SUITE 6000, KANSAS CITY, MO 64111-5961
(816) 756-2255
(816) 931-4080
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-7000
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2010020747
MO
207RP1001X
Pulmonary Disease Physician
Primary
2010020747
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2010020747
MO
Other
Enumeration date
09/06/2008
Last updated
08/17/2016
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