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NPI Code Detail

MEDICARE: DR. PAYAM MOKHTARI M.D.

MEDICARE:  DR. PAYAM  MOKHTARI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program94-08242KS
22084P0800XPsychiatry Physician04-40266KS

General Provider Information

NPI Number : 1619316759
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAYAM MOKHTARI M.D.
Provider Business Mailing Address
First Line : 13351 S ARAPAHO DR
Second Line :
City : OLATHE
State : KS
Zip : 66062-1520
Country : US
Telephone Number : 913-353-3000
Fax Number :
Provider Business Practice Location Address
First Line : 13351 S ARAPAHO DR
Second Line :
City : OLATHE
State : KS
Zip : 66062-1520
Country : US
Telephone Number : 913-588-6400
Fax Number : 913-353-3000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2013
Last Update Date : 02/07/2026

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