Khadavi, Michael Jonathan
Khadavi, Michael Jonathan is an individual health care provider with primary practice located at 10777 Nall Ave Ste 300 , Overland Park KS 66211-1330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Khadavi, Michael Jonathan can be contacted via phone (913) 642-0200.Contact Information
Primary practice address
10777 Nall Ave Ste 300
Overland Park KS 66211-1330
Phone: (913) 642-0200
Fax: (913) 563-6699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 2010026613 | Missouri |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 04-37406 | Kansas |
Profile Details
| NPI number | 1003050204 |
|---|---|
| LBN Legal business name | Khadavi, Michael Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2009 |
| Last updated | Sep 30th, 2022 - about 3 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.
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