Provider Demographics
NPI:1215234208
Name:LOUAY K. SABIH, LLC
Entity type:Organization
Organization Name:LOUAY K. SABIH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:RAOOF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-341-4000
Mailing Address - Street 1:10550 MARTY ST STE 201
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2557
Mailing Address - Country:US
Mailing Address - Phone:913-341-4000
Mailing Address - Fax:913-383-2868
Practice Address - Street 1:10550 MARTY ST STE 201
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212
Practice Address - Country:US
Practice Address - Phone:913-341-4000
Practice Address - Fax:913-383-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0427401207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1215234208Medicaid
KSDT1379OtherMDCR RR
MOMA3358 (METRO)Medicare UPIN
MO1215234208Medicaid
KSDT1379OtherMDCR RR