Individual
UROOJ MASOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 W 75TH ST, OVERLAND PARK, KS 66204-3029
(913) 432-1107
Mailing address
6405 ALDEN ST, SHAWNEE, KS 66216-2139
(913) 709-0619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-101128
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K03265016
DRIVER LICENSE
KS
Enumeration date
04/20/2021
Last updated
04/20/2021
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