Individual
DR. MOHAMMAD MOZAYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19550 E 39TH ST S, SUITE 315, INDEPENDENCE, MO 64057-2358
(816) 698-8290
(816) 698-8291
Mailing address
19550 E 39TH ST S, SUITE 315, INDEPENDENCE, MO 64057-2358
(816) 698-8290
(816) 698-8291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090172
MI
207RH0003X
Hematology & Oncology Physician
04-38127
KS
207RH0003X
Hematology & Oncology Physician
Primary
2015013494
MO
Other
Enumeration date
08/05/2007
Last updated
02/09/2022
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