Healthcare Provider Details

I. General information

NPI: 1386442911
Provider Name (Legal Business Name): MOTAZ AYMAN MAHMOUD DARAGHMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

6909 W 51ST PL APT 3A
MISSION KS
66202-1505
US

V. Phone/Fax

Practice location:
  • Phone: 913-678-7215
  • Fax:
Mailing address:
  • Phone: 913-218-7848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: