Mohamed Benkhadra
Individual provider Active NPI Taxi · Grandview, MO
NPI 1467828582 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1467828582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Taxi 344600000X
- License
- 2015/01 (MO)
- Practice address
- 12412 Monroe Ave
Grandview, MO 64030-1529 - Phone
- (913) 206-3476
- NPI assigned
- Aug 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015/01 | MO | MD | Taxi |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salima Transportation LLC | Taxi | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | 2015/01 | MO | Yes |
Addresses
Primary practice location
12412 Monroe Ave
Grandview, MO 64030-1529
Mailing address
1101 Hampton Dr.
Raymore, MO 64083-4010
Phone (913) 206-3476
Other providers in Grandview, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.