Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOHAMED BENKHADRA
Active Sole ProprietorMOHAMED BENKHADRA is a Van Provider healthcare provider located in GRANDVIEW, Missouri. NPI 1467828582 is currently active in the NPPES registry. Verify at CMS.
Van Provider · GRANDVIEW, MO
Registration Details
- NPI Number
- 1467828582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2015 (11.001737858649 yrs)
- Last Updated
- Dec 13, 2016
- License
-
2015/01 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12412 MONROE AVEGRANDVIEW, MO, 640301529Browse MO providers · Browse ZIP 64030
- Phone
- 9132063476
- Primary Specialty
-
Van Provider
344600000X
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.