Individual
DR. MICHAEL JONATHAN KHADAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10777 NALL AVE STE 300, OVERLAND PARK, KS 66211-1330
(913) 642-0200
(913) 563-6699
Mailing address
10777 NALL AVE STE 300, OVERLAND PARK, KS 66211-1330
(913) 642-0200
(913) 563-6699
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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