Healthcare Provider Details

I. General information

NPI: 1326037656
Provider Name (Legal Business Name): MEHDI ZARABI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 NE RALPH POWELL RD STE A
LEES SUMMIT MO
64064
US

IV. Provider business mailing address

7550 W 99TH TER
OVERLAND PARK KS
66212-2409
US

V. Phone/Fax

Practice location:
  • Phone: 435-249-0775
  • Fax:
Mailing address:
  • Phone: 913-381-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberR1B90
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: