Provider Demographics
NPI:1205067154
Name:KABIR, ASAD WASEEM (MD)
Entity type:Individual
Prefix:DR
First Name:ASAD
Middle Name:WASEEM
Last Name:KABIR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5301 FARAON ST
Mailing Address - Street 2:STE 120
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3512
Mailing Address - Country:US
Mailing Address - Phone:816-271-1385
Mailing Address - Fax:816-271-1379
Practice Address - Street 1:5301 FARAON ST
Practice Address - Street 2:STE 201B
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3512
Practice Address - Country:US
Practice Address - Phone:816-271-1385
Practice Address - Fax:816-271-1379
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2017-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2015032551207RC0200X, 207RS0012X, 207RP1001X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1205067154Medicaid
MOMA4170097Medicare PIN
MO701000318Medicare PIN