Individual
MRS. KHALIDA QALBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5535 DELMAR BOULEVARD, SAINT LOUIS, MO 63112-3005
(314) 361-2273
(314) 879-6372
Mailing address
5535 DELMAR BOULEVARD, SAINT LOUIS CONNECTCARE, SAINT LOUIS, MO 63112-3005
(314) 879-6309
(314) 879-6372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004002967
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11462947
—
MO
05
—
209353903
—
MO
Enumeration date
05/16/2006
Last updated
12/16/2011
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