Most Relevant Information
Provider Data
| NPI Number: | 1003050204 |
| Provider Name: | MICHAEL JONATHAN KHADAVI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2081S0010X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 2010026613 |
Most Important Dates
| Enumeration Date: | 05/01/2009 |
| Last Updated: | 09/30/2022 |
Provider Practice Location
10777 NALL AVE STE 300
OVERLAND PARK
KS
662111330
Practice Location Phone/Fax
| Phone: | 9136420200 |
| Fax: | 9135636699 |
Provider Mailing Location
10777 NALL AVE STE 300
OVERLAND PARK
KS
662111330
Provider Mailing Phone/Fax
| Phone: | 9136420200 |
| Fax: | 9135636699 |