Individual
MR. MEHDI TAGHIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
14720 METCALF AVE, OVERLAND PARK, KS 66223-2204
(913) 685-1200
(913) 685-1245
Mailing address
14720 METCALF AVE, OVERLAND PARK, KS 66223-2204
(913) 685-1200
(913) 685-1245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102880
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
53-75936-102
KS
Other
Enumeration date
01/24/2013
Last updated
08/07/2013
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