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Individual

AMIT MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4550 W 109TH ST STE 200, OVERLAND PARK, KS 66211-1354
(913) 721-3387
(816) 875-2597
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(913) 721-3387
(816) 875-2597

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-44183
KS
207Q00000X
Family Medicine Physician
2006014607
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203421508
MO
05
30004461290002
KS
Enumeration date
10/03/2006
Last updated
11/06/2025
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