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Individual
DR. MICHAEL JONATHAN KHADAVI
Active
Individual
DR. MICHAEL JONATHAN KHADAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
04-37406
KS
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
2010026613
MO
Other
Enumeration date
05/01/2009
Last updated
09/30/2022
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