Mokhtar, Yasser M

Mokhtar, Yasser M is an individual health care provider with primary practice located at 1102 W 32Nd St , Joplin MO 64804-3503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mokhtar, Yasser M can be contacted via phone (417) 347-1111.

Contact Information

Primary practice address
1102 W 32Nd St Joplin MO 64804-3503
Phone: (417) 347-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 2007007783 Missouri
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2007007783 Missouri

Profile Details

NPI number 1245359231
LBN Legal business name Mokhtar, Yasser M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Dec 19th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245359231 NPPES
Missouri MEDICAID 200052900
Missouri MEDICAID 200113520A
Missouri MEDICAID 200428260A
Missouri Other 219343
Missouri Other P00403969

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