Individual
MOHAMMAD KHASAWNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 SOUTH GRAND BLVD, SLUCARE CANTER FOR SPECIALIZED MEDICINE, SAINT LOUIS, MO 63104-2951
(314) 977-6082
(314) 977-6086
Mailing address
1008 SOUTH SPRING AVENUE, SLUCARE ACADEMIC PAVILION, 3RD FLOOR, SAINT LOUIS, MO 63110-2951
(314) 977-6082
(314) 977-6086
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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