Basic Information
| Provider Information | |||||||||
| NPI: | 1962403626 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SABER | ||||||||
| FirstName: | ARMAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6316 COOPER ST | ||||||||
| Address2: | |||||||||
| City: | SHAWNEE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662189219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9139561367 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9100 W 74TH ST | ||||||||
| Address2: | |||||||||
| City: | MERRIAM | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662044004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136762214 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2005 | ||||||||
| LastUpdateDate: | 06/29/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 04-28132 | KS | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 26058044 | 01 | KS | BCBS OF KC MO | OTHER | 26058064 | 01 | MO | BCBS KC MO | OTHER | 01674018 | 01 | KS | BCBS KCMO GROUP 01674018 | OTHER | 100345790C | 05 | KS | MEDICAID | 930114374 | 01 | RR MEDICARE GROUP CC8899 | OTHER | P00215044 | 01 | RR MEDICARE GROUP DC6712 | OTHER | 100345790A | 05 | KS | MEDICAID | 206039208 | 05 | MO | MEDICAID |