Individual
SAMINA SHABNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(816) 214-5548
Mailing address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(816) 214-5548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020010626
MO
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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