| Malik Benkhadra, FNP | |
|
15210 Grand Summit Blvd Apt 206, Grandview, MO 64030-2514 | |
| (816) 405-9753 | |
| Not Available |
| Full Name | Malik Benkhadra |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 15210 Grand Summit Blvd Apt 206, Grandview, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730957333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2020004539 (Missouri) | Primary |
| Entity Name | Emergency Medicine Services Of Mo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023715182 PECOS PAC ID: 1951766559 Enrollment ID: O20230710001430 |
| Mailing Address | Practice Location Address |
|---|---|
| Malik Benkhadra, FNP 15210 Grand Summit Blvd Apt 206, Grandview, MO 64030-2514 Ph: (816) 405-9753 | Malik Benkhadra, FNP 15210 Grand Summit Blvd Apt 206, Grandview, MO 64030-2514 Ph: (816) 405-9753 |
Jennifer Bingham, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13321 Donnelly Ave, Grandview, MO 64030 Phone: 816-729-5410 | |
Ms. Carla Ann Albright, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4200 E 135th St, Grandview, MO 64030 Phone: 816-765-2000 Fax: 816-761-3157 | |
Miss Ronda Renee Latimore, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12944 Beacon Ave, Grandview, MO 64030 Phone: 816-569-6500 | |
Natasha Young, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14007 Winchester Ct, Grandview, MO 64030 Phone: 816-398-9611 Fax: 816-765-6513 | |
Emily Miller, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13315 Donnelly Ave, Grandview, MO 64030 Phone: 816-896-2484 |