Individual
AMINA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804-2213
(417) 886-5000
(417) 886-1100
Mailing address
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804-2213
(417) 886-5000
(417) 886-1100
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36290
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619186301
—
MO
Enumeration date
05/21/2007
Last updated
12/01/2009
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