Individual
LILAC KHOJASTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3009 N BALLAS RD STE 387C, SAINT LOUIS, MO 63131-2324
(314) 996-5900
(314) 996-5910
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023042958
MO
207R00000X
Internal Medicine Physician
36165361
IL
207R00000X
Internal Medicine Physician
A190548
CA
207R00000X
Internal Medicine Physician
ME162744
FL
Other
Enumeration date
03/25/2020
Last updated
09/19/2025
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