Khattak, Hafiz
Khattak, Hafiz is an sole proprietor health care provider with primary practice located at 7491 Big Bend Blvd , Webster Groves MO 63119-2101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Khattak, Hafiz can be contacted via phone (314) 961-3038.Contact Information
Primary practice address
7491 Big Bend Blvd
Webster Groves MO 63119-2101
Phone: (314) 961-3038
Fax: (618) 398-6266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2000161127 | Missouri |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036101887 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 2000161127 | Missouri |
Profile Details
| NPI number | 1265419683 |
|---|---|
| LBN Legal business name | Khattak, Hafiz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Feb 23rd, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265419683 | NPPES |
| Missouri | MEDICAID | 205739006 |
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