Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | R8155 | MO |
N | 208000000X | Pediatrician | R8155 | MO |
NPI | 1043304785 |
---|---|
Provider Name | Fereydoun Dehkharghani |
First Address | Kansas City, MO 64108 |
Second Address | Kansas City, MO 64108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C52268 | (02) |