IndividualActive
Michael Khadavi, MD
NPI 1003050204 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Overland Park, KS
Provider details
- NPI number
- 1003050204
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2010026613 (MO)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense 04-37406 (KS)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Phone: (913) 642-0200
Fax: (913) 563-6699
Approximate (ZIP-level) locationGet directions
Mailing address
10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Registry dates
- Enumerated
- 2009-05-01
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.