Khoshneviszadeh, Mohmmad

Khoshneviszadeh, Mohmmad is an sole proprietor health care provider with primary practice located at 4100 S Bolger Rd , Independence MO 64055-6772. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Khoshneviszadeh, Mohmmad can be contacted via phone (816) 350-2931.

Contact Information

Primary practice address
4100 S Bolger Rd Independence MO 64055-6772
Phone: (816) 350-2931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 044343 Missouri

Profile Details

NPI number 1306332622
LBN Legal business name Khoshneviszadeh, Mohmmad
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2018
Last updated Jul 10th, 2018 - about 6 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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