Provider Demographics
NPI:1962403626
Name:SABER, ARMAN
Entity type:Individual
Prefix:
First Name:ARMAN
Middle Name:
Last Name:SABER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6316 COOPER ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66218-9219
Mailing Address - Country:US
Mailing Address - Phone:913-956-1367
Mailing Address - Fax:
Practice Address - Street 1:9100 W 74TH ST
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-4004
Practice Address - Country:US
Practice Address - Phone:913-676-2214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-28132207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS26058044OtherBCBS OF KC MO
MO26058064OtherBCBS KC MO
KS01674018OtherBCBS KCMO GROUP 01674018
KS100345790CMedicaid
930114374OtherRR MEDICARE GROUP CC8899
P00215044OtherRR MEDICARE GROUP DC6712
KS100345790AMedicaid
MO206039208Medicaid
930114374OtherRR MEDICARE GROUP CC8899
KS100345790AMedicaid
KS26058044OtherBCBS OF KC MO