Fareesa Khan Llc

LBN: Fareesa Khan Llc
Fareesa Khan Llc is an health care organization with primary practice located at 10004 Kennerly Rd Ste 255A , Saint Louis MO 63128-2184. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as the primary health care specialty. Fareesa Khan Llc can be contacted via phone (314) 270-9880, or through Khan, Fareesa G via phone (636) 675-3107.

Contact Information

Primary practice address
10004 Kennerly Rd Ste 255A Saint Louis MO 63128-2184
Phone: (314) 270-9880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khan, Fareesa G Doctor of Medicine (MD)
Phone: (636) 675-3107

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 112917 Missouri

Profile Details

NPI number 1780923490
LBN Legal business name Fareesa Khan Llc
DBA Doing business as
Authorized official Khan, Fareesa G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2013
Last updated Jul 10th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780923490 NPPES
Missouri MEDICAID 203820014

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