Provider Demographics
NPI:1821666298
Name:ALSADI, HUSSEIN SHEHAB MOHAMMAD (MBBS)
Entity Type:Individual
Prefix:
First Name:HUSSEIN
Middle Name:SHEHAB MOHAMMAD
Last Name:ALSADI
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNI. OF KANSAS MED, CTR. INT. MED. RES. PROGRAM
Mailing Address - Street 2:3901 RAINBOW BLVD, MS 2027
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:68160
Mailing Address - Country:US
Mailing Address - Phone:913-945-7072
Mailing Address - Fax:913-588-0890
Practice Address - Street 1:3901 RAINBOW BLVD # MS 4032
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-574-0338
Practice Address - Fax:913-945-5062
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X, 390200000X
KS94-10797390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program