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Individual

SUNNA KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
777 CRAIG RD STE 130, CREVE COEUR, MO 63141-7133
(314) 872-7792
(314) 872-5655
Mailing address
777 CRAIG RD STE 130, CREVE COEUR, MO 63141-7133
(314) 872-7792
(314) 872-5655

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2021028579
MO
390200000X
Student in an Organized Health Care Education/Training Program
2021028579
MO

Other

Enumeration date
03/19/2019
Last updated
07/27/2023
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