Provider Demographics
NPI:1750324786
Name:SALEH, GEORGE A (DO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:A
Last Name:SALEH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NE 54TH ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-4361
Mailing Address - Country:US
Mailing Address - Phone:816-455-7400
Mailing Address - Fax:816-455-7404
Practice Address - Street 1:200 NE 54TH ST
Practice Address - Street 2:SUITE 111
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4361
Practice Address - Country:US
Practice Address - Phone:816-455-7400
Practice Address - Fax:816-455-7404
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8749207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO08970032OtherBLUE CROSS PROVIDER
MOC51493Medicare UPIN
MON340000Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER