Mahmoud B. T. Algharabli, MD
Individual provider Active NPI Physician Assistant · Grandview, MO
NPI 1902559040 · NPPES record last updated Jan 29, 2022
Key facts
- NPI
- 1902559040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2021041253 (MO)
- Practice address
- 13013 Fuller Ave Ste a
Grandview, MO 64030-2687 - Phone
- (816) 214-5548
- NPI assigned
- Jan 29, 2022
- Sex
- Male
- Sole proprietor
- No
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021041253 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medina Clinic, Incorporated | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2021041253 | MO | Yes |
Addresses
Primary practice location
13013 Fuller Ave Ste a
Grandview, MO 64030-2687
Mailing address
4047 N Bennington Ave Apt 303
Kansas City, MO 64117-2940
Phone (267) 368-1727
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dr.mahmod100@hotmail.com | Direct |
Other providers in Grandview, MO
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- American Current Care of Kansas PA
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- Kyunghwan An
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All providers in Grandview, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2022. 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.