Provider Demographics
NPI:1861233983
Name:MOKSCARE FAMILY MEDICINE LLC
Entity type:Organization
Organization Name:MOKSCARE FAMILY MEDICINE LLC
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 1:7450 QUIVIRA RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66216-3526
Mailing Address - Country:US
Mailing Address - Phone:913-706-2508
Mailing Address - Fax:913-543-4444
Practice Address - Street 1:1438 GIRARD BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-1821
Practice Address - Country:US
Practice Address - Phone:505-308-8150
Practice Address - Fax:505-219-3830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty