Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOHMMAD KHOSHNEVISZADEH
Active Sole ProprietorAmbulatory Care Pharmacist · INDEPENDENCE, MO
Registration Details
- NPI Number
- 1306332622
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2018 (7.7828614380946 yrs)
- Last Updated
- Jul 10, 2018
- License
-
044343 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4100 S BOLGER RDINDEPENDENCE, MO, 640556772Browse MO providers · Browse ZIP 64055
- Phone
- 8163502931
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
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.