Boda, Mohd I
Boda, Mohd I is an individual health care provider with primary practice located at 3490 Ne Ralph Powell Rd Suite B, Lees Summit MO 64064-2361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boda, Mohd I can be contacted via phone (816) 554-7100.Contact Information
Primary practice address
3490 Ne Ralph Powell Rd Suite B
Lees Summit MO 64064-2361
Phone: (816) 554-7100
Fax: (816) 478-0288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2001025771 | Missouri |
Profile Details
| NPI number | 1285673038 |
|---|---|
| LBN Legal business name | Boda, Mohd I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Feb 1st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285673038 | NPPES |
| Oklahoma | MEDICAID | 200198790A | |
| Oklahoma | MEDICAID | 205760713 | |
| Oklahoma | MEDICAID | 200556350B |
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