Khan, Masood A

Khan, Masood A is an sole proprietor health care provider with primary practice located at 6420 Clayton Road , St Louis MO 63117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Masood A can be contacted via phone (314) 768-8778.

Contact Information

Primary practice address
6420 Clayton Road St Louis MO 63117
Phone: (314) 768-8778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2004015678 Missouri

Profile Details

NPI number 1740401819
LBN Legal business name Khan, Masood A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740401819 NPPES
Missouri Other 2004015678 MO TEMP STATE LICENSE NO.

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