Individual
GURPREET KHAKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HOSPITAL DRIVE, COLUMBIA, MO 65202
(573) 882-1515
(573) 884-0070
Mailing address
1 HOSPITAL DRIVE, COLUMBIA, MO 65202
(573) 882-1515
(573) 884-0070
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2014019451
MO
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08.18.1986
08.18.1986
—
01
—
2014019451
MISSOURI TEMPORARY LICENSE NUMBER
MO
Enumeration date
06/23/2014
Last updated
01/15/2015
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