Khan, Omar Mohammad

Khan, Omar Mohammad is an individual health care provider with primary practice located at 1008 N Main St , Sikeston MO 63801-5044. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Khan, Omar Mohammad can be contacted via phone (573) 472-7565.

Contact Information

Primary practice address
1008 N Main St Sikeston MO 63801-5044
Phone: (573) 472-7565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60095366 Washington
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD60095366 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD60095366 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2018004982 Missouri

Profile Details

NPI number 1508832841
LBN Legal business name Khan, Omar Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 17th, 2018 - about 6 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 1508832841 NPPES
Washington Other 025904 L&I KRMC GROUP NUMBER
Washington MEDICAID 1508832841 L&I KRMC GROUP NUMBER

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