Fareesa Khan Llc

NPI 1780923490 - Obstetrics & Gynecology - 207VF0040X

NPI Details
NPI 1780923490
Enumeration Date 02/01/2013
Last Updated 09/30/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name FAREESA G FAREESA
Position OWNER
Phone (314) 525-1800
Fax (888) 971-4069
Practice Location
10004 KENNERLY RD
STE 137 A
SAINT LOUIS MO, 63128-2141, US
Phone (314) 525-1800
Fax (888) 971-4069
Business Location
10004 KENNERLY RD
STE 137 A
SAINT LOUIS MO, 63128-2141, US
Phone (314) 525-1800
Fax (888) 971-4069
Toxanomy
Taxonomy Code 207VF0040X
License State Missouri
License Number 112917
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According to our database, Fareesa Khan Llc NPI is 1780923490, taxonomy code is 207VF0040X and license number is 112917, license state is located at Missouri. Fareesa Khan Llc physically located at 10004 Kennerly Rd, Saint Louis MO, 63128-2141. NPI Number 1033115704 has the healthcare provider type.

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1780923490 NPI number is provided on an as is basis without warranty of any kind. 1780923490 is maintained by the National Plan & Provider Enumeration System. The contents of Fareesa Khan Llc are for informational purposes only.