Individual
RIME MEHANNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6151 N MAIN STREET ROAD, WEBB CITY, MO 64870
(417) 781-0408
Mailing address
111 CENTRAL AVENUE, NEWARK, NJ 07102
(973) 877-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023026669
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2020
Last updated
08/30/2023
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