Healthcare Provider Details

I. General information

NPI: 1487501276
Provider Name (Legal Business Name): MONA NEUROSCIENCE INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7111 W 98TH TER STE 140
OVERLAND PARK KS
66212-6158
US

IV. Provider business mailing address

6517 SAGAMORE RD
MISSION HILLS KS
66208-1946
US

V. Phone/Fax

Practice location:
  • Phone: 913-303-1019
  • Fax: 472-227-3071
Mailing address:
  • Phone: 347-210-6751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROLA MAHMOUD
Title or Position: PRESIDENT
Credential: MD
Phone: 347-210-6751