Individual
DR. SOOPHIA KHAN NAYDENOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM PULMONARY AND CRITICAL CARE MEDICINE, SAINT LOUIS, MO 63110-1003
(314) 454-8917
(314) 454-7524
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-8917
(314) 454-7524
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
2009018161
MO
207R00000X
Internal Medicine Physician
2009018161
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2009018161
MO
207RP1001X
Pulmonary Disease Physician
Primary
2009018161
MO
2084A2900X
Neurocritical Care Physician
2009018161
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209757103
—
MO
Enumeration date
05/31/2007
Last updated
04/17/2025
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