Provider Demographics
NPI:1861233983
Name:MOKSCARE FAMILY MEDICINE
Entity type:Organization
Organization Name:MOKSCARE FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NEEMA
Authorized Official - Middle Name:TITUS
Authorized Official - Last Name:MSHANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-602-0622
Mailing Address - Street 1:7721 QUIVIRA RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66216-3401
Mailing Address - Country:US
Mailing Address - Phone:913-706-2508
Mailing Address - Fax:913-543-4444
Practice Address - Street 1:7450 QUIVIRA RD
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-3526
Practice Address - Country:US
Practice Address - Phone:913-706-2508
Practice Address - Fax:913-543-4444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty