Individual
DR. DAUD Y KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
113 W HICKORY ST, NEOSHO, MO 64850-1705
(417) 347-2476
Mailing address
113 W HICKORY ST, NEOSHO, MO 64850-1705
(417) 347-2476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2000158729
MO
207P00000X
Emergency Medicine Physician
E-8477
AR
207R00000X
Internal Medicine Physician
2000158729
MO
207R00000X
Internal Medicine Physician
Primary
E-8477
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216740A
—
OK
05
—
100394030C
—
KS
01
—
143100
ANTHEM
MO
05
—
245291703
—
MO
01
—
P00248175
RR MEDICARE
—
Enumeration date
05/09/2006
Last updated
01/12/2022
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