Provider Demographics
NPI:1003800459
Name:SABIH, LOUAY K (MD)
Entity Type:Individual
Prefix:
First Name:LOUAY
Middle Name:K
Last Name:SABIH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10550 MARTY ST STE 201
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2557
Mailing Address - Country:US
Mailing Address - Phone:913-341-4000
Mailing Address - Fax:913-383-2868
Practice Address - Street 1:10550 MARTY ST STE 201
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212
Practice Address - Country:US
Practice Address - Phone:913-341-4000
Practice Address - Fax:913-383-2868
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO113668207R00000X
KS04-27401207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
24308106OtherBC OF KC
MO1003800459Medicaid
KS100356450HMedicaid
KSP01102769OtherRR MDCR
KS100356450IMedicaid
KS100356450HMedicaid
24308106OtherBC OF KC
MOMA3358001Medicare UPIN