Provider Demographics
NPI:1427005701
Name:KHALID, SHEBA (MD LLC)
Entity Type:Individual
Prefix:DR
First Name:SHEBA
Middle Name:
Last Name:KHALID
Suffix:
Gender:F
Credentials:MD LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10965 GRANADA LN
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1469
Mailing Address - Country:US
Mailing Address - Phone:913-663-3000
Mailing Address - Fax:913-663-2405
Practice Address - Street 1:10965 GRANADA LN
Practice Address - Street 2:SUITE 102
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1469
Practice Address - Country:US
Practice Address - Phone:913-663-3000
Practice Address - Fax:913-663-2405
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS523459-04-212572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS00000373Medicare ID - Type UnspecifiedCURRENT MEDICARE ID NUMBE