Provider Demographics
NPI:1326669409
Name:GUBA, SAMUEL RICHARD (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:RICHARD
Last Name:GUBA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5100 W 110TH ST STE 100&110
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1215
Mailing Address - Country:US
Mailing Address - Phone:913-345-6960
Mailing Address - Fax:913-345-6966
Practice Address - Street 1:5100 W 110TH ST STE 100&110
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1215
Practice Address - Country:US
Practice Address - Phone:913-345-6960
Practice Address - Fax:913-345-6966
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2025-07-14
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Provider Licenses
StateLicense IDTaxonomies
TXBP10071314208600000X
MO2025011100208600000X
KS04-50816208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery