Individual
DR. ASRAR AHMED KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-3246
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-3246
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014020162
MO
207R00000X
Internal Medicine Physician
62405
MN
207RC0000X
Cardiovascular Disease Physician
Primary
62405
MN
208M00000X
Hospitalist Physician
62405
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014020162
MISSOURI LICENSE NUMBER
MO
Enumeration date
07/02/2014
Last updated
08/06/2020
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