Individual
MOJTABA S OLYAEE
Active
Individual
MOJTABA S OLYAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-25364
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176480A
—
KS
05
—
208066605
—
MO
01
—
25934039
BCBS KC
MO
01
—
663411
FIRSTGUARD
KS
Enumeration date
09/06/2006
Last updated
05/28/2014
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