BEHNAM RAISDANA

MERRIAM, KS
NPI1356695001
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: KS  0539592)
Enumeration Date2012-11-02
Last Update Date2021-06-30
Business Address
BEHNAM RAISDANA
9100 W 74TH ST
MERRIAM, KS 66204-4004
Phone number: 913-676-2214
Mailing Address
BEHNAM RAISDANA
9100 W 74TH ST
MERRIAM, KS 66204-4004
Phone number: 913-676-2214
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