Provider Demographics
NPI:1972701571
Name:AHMED, HASEEB ABDUL (DO)
Entity Type:Individual
Prefix:DR
First Name:HASEEB
Middle Name:ABDUL
Last Name:AHMED
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:7111 W 151ST ST STE 303
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2231
Mailing Address - Country:US
Mailing Address - Phone:913-549-3884
Mailing Address - Fax:913-273-3343
Practice Address - Street 1:6650 W 110TH ST STE 220
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1501
Practice Address - Country:US
Practice Address - Phone:913-549-3884
Practice Address - Fax:913-273-3343
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2022-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB11625000207R00000X
NC219294207R00000X
MO2010008637207R00000X
KS05-34238207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty