Individual
SOHAIL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MCINTOSH CIR STE 302, JOPLIN, MO 64804-3693
(417) 347-8315
(417) 347-8317
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-8315
(417) 347-8317
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2006001521
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
54271
KY
207RP1001X
Pulmonary Disease Physician
2006001521
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200087780A
—
OK
05
—
200386030A
—
KS
05
—
201141801
—
MO
01
—
8710
ANTHEM
MO
01
—
P00328561
RR MEDICARE
—
Enumeration date
06/28/2006
Last updated
04/26/2021
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