NPI 1467828582

Mohamed Benkhadra

Practitioner Taxi Grandview, MO

Practice location

Address: 12412 Monroe Ave, Grandview, MO 64030-1529
Phone: (913) 206-3476
Mailing address: 1101 Hampton Dr., Raymore, MO 64083-4010

Registered specialties

Taxi Primary

Transportation Services Taxonomy 344600000X Licence 2015/01 (MO)

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Registry record

NPI: 1467828582
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2015
Record last updated: 13 Dec 2016

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.