Individual
MR. MEHRDAD MARTIN HEDAYATZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S.13TH ST., LEAVENWORTH, KS 66048
(913) 727-4845
Mailing address
10301 LEE BLVD, LEAWOOD, KS 66206-2628
(913) 220-9573
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12231
KS
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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