Olyaee, Mojtaba S

Olyaee, Mojtaba S is an individual health care provider with primary practice located at 3901 Rainbow Blvd, Rm 4035 Wescoe Mailstop 1023, Kansas City, KS 66160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Olyaee, Mojtaba S can be contacted via phone (913) 588-6000.

Contact Information

Primary practice address
3901 Rainbow Blvd, Rm 4035 Wescoe Mailstop 1023 Kansas City, KS 66160
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 04-25364 Kansas

Profile Details

NPI number 1548363450
LBN Legal business name Olyaee, Mojtaba S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated May 28th, 2014 - about 10 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 1548363450 NPPES
Missouri MEDICAID 208066605
Missouri Other 663411
Missouri Other 25934039
Missouri MEDICAID 100176480A

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