Individual
FAEZA F KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2013018532
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487094579
—
MO
01
—
2016017264
LICENSE
MO
Enumeration date
07/03/2013
Last updated
12/17/2021
Update your record
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