Individual
NABA RAZI KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9924 KENNERLY RD, SAINT LOUIS, MO 63128-2704
(314) 842-5858
Mailing address
1301 COATES BLUFF DR APT 918, SHREVEPORT, LA 71104-2859
(214) 543-4019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1890-826AT
LA
Other
Enumeration date
07/16/2019
Last updated
10/29/2020
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