Individual
MRS. SOFIA S KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
Mailing address
2845 W 139TH TER, LEAWOOD, KS 66224-3931
(913) 814-7182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-26409
KS
207R00000X
Internal Medicine Physician
Primary
111310
MO
207R00000X
Internal Medicine Physician
M0111310
MO
208M00000X
Hospitalist Physician
111310
MO
Other
Enumeration date
07/06/2005
Last updated
02/16/2022
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