DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL JONATHAN KHADAVI, MD

Active

DR. MICHAEL JONATHAN KHADAVI, MD is a Sports Medicine (PM&R) healthcare provider located in OVERLAND PARK, Kansas. NPI 1003050204 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · OVERLAND PARK, KS

Registration Details

NPI Number
1003050204
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2009 (17.329924530201 yrs)
Last Updated
Sep 30, 2022
Licenses
2010026613 (MO)
04-37406 (KS)

Practice Information

Address
10777 NALL AVE STE 300
OVERLAND PARK, KS, 662111330
Browse KS providers · Browse ZIP 66211
Phone
9136420200
Fax
9135636699
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Additional Specialty
Sports Medicine (PM&R)

Other Sports Medicine (PM&R) Providers in OVERLAND PARK, KS

Name Credential NPI
DR. BRITTANY J MOORE MD 1861810137
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.