Individual
SHAHRAM MOJAHEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12300 METCALF AVE, ANESTHESIA DEPT., OVERLAND PARK, KS 66213-1324
(816) 389-6030
(816) 389-6034
Mailing address
9233 WARD PKWY, SUITE 230, KANSAS CITY, MO 64114-3366
(816) 389-6030
(816) 389-6034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1383341041
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1383341041
KS RN LICENSE
KS
01
—
2000169846
MO RN LICENSE
MO
Enumeration date
05/20/2008
Last updated
05/20/2008
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