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Mohammad Taha

Hospitalist

Allopathic & Osteopathic Physicians

Ku Medical Center Div Og General &, 3901 Rainbow Blvd, Ms 1020, Kansas City, KS 66160-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Mohammad Taha is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1164452058
Provider Type
Individual
Full Name
Taha, Mohammad
Credential
M.D

Gender
Male
Sole Proprietor
No
Enumeration Date
7/4/2006
Last Updated
5/13/2014

Contact Information

Practice Location

Ku Medical Center Div Og General &, 3901 Rainbow Blvd, Ms 1020, Kansas City, KS 66160-0001

(913) 588-6005

(913) 588-3877

Mailing Location

Kansas University Physicians Inc, 3901 Rainbow Blvd ,4070 Delp, Ms 4017, Kansas City, KS 66160-0001

(913) 588-2500

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License 04-32653 Kansas

Mohammad Taha

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Byers, Aaron Nelson

Howe, Erica E

Khan, Nasar

Cushing, Jacob M

Bailuc, Stefania Loredana

Morgan, Ethan

Farooq, Omer

Pollpeter, Molly

Wilkinson, Kelsie

Phyu Phyu Aung, Thin