Organization
BANNISTER INTERNAL MEDICINE CLINIC
Active
Other names
Bannister Internal Medicine Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATIMA H KHAN D.O (OWNER)
(816) 599-6317
Entity
Organization
Contact information
Practice address
9520 JAMES A REED RD, SUITE B, KANSAS CITY, MO 64134-1689
(816) 599-6317
(816) 599-6319
Mailing address
9520 JAMES A REED RD, SUITE B, KANSAS CITY, MO 64134-1689
(816) 599-6317
(816) 599-6319
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2010019768
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881914034
—
MO
Enumeration date
05/07/2015
Last updated
07/20/2015
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