Individual
DR. MEHRDAD MAZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160
(913) 588-6009
(913) 588-8182
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160
(913) 588-6009
(913) 588-8182
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
04-34968
KS
207RR0500X
Rheumatology Physician
34035
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86080015085259C443
TRIWEST
AZ
05
—
942864
—
AZ
01
—
P00231286
RAILROAD MEDICARE
AZ
Enumeration date
11/27/2005
Last updated
11/20/2014
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