Individual
DR. MUBASHIR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 S FREMONT AVE, SPRINGFIELD, MO 65804-6538
(417) 875-3000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01061259
IN
207RG0100X
Gastroenterology Physician
2009002056
MO
207RG0100X
Gastroenterology Physician
Primary
E-11715
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178829001
—
AR
05
—
205520000
—
MO
01
—
431560263
TRICARE WEST
—
01
—
P00753026
RAILROAD MEDICARE
—
Enumeration date
06/14/2006
Last updated
10/31/2022
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