Individual
SHAWN KHOSLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
637 DUNN RD STE 102A, HAZELWOOD, MO 63042-1755
(314) 831-0086
Mailing address
637 DUNN RD STE 102A, HAZELWOOD, MO 63042-1755
(314) 831-8600
(314) 831-0086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20222047876
MO
Other
Enumeration date
03/31/2020
Last updated
03/21/2024
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