Individual
MAHRUKH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7491 BIG BEND BLVD., ST. LOUIS, MO 63119
(314) 961-3038
(314) 961-6731
Mailing address
PO BOX 2153 DEPT #30704, BIRMINGHAM, AL 35287-9257
(314) 961-3038
(314) 961-6731
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
112340
MO
Other
Enumeration date
03/15/2007
Last updated
12/22/2023
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