NPI 1003050204

Michael Jonathan Khadavi, MD

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Overland Park, KS

Practice location

Address: 10777 Nall Ave STE 300, Overland Park, KS 66211-1330
Phone: (913) 642-0200
Fax: (913) 563-6699

Registered specialties (2)

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 04-37406 (KS)

Other Physical Medicine & Rehabilitation providers in Kansas →

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 2010026613 (MO)

Registry record

NPI: 1003050204
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2009
Record last updated: 30 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.