Individual
FARAHNAZ KOUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17203 E 23RD ST S, INDEPENDENCE, MO 64057-1859
(816) 478-5252
(816) 478-5251
Mailing address
PO BOX 838, SHAWNEE MISSION, KS 66201-0838
(913) 469-4244
(913) 469-1939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2004034265
MO
207Q00000X
Family Medicine Physician
Primary
30568
KS
Other
Enumeration date
03/09/2006
Last updated
11/19/2020
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