Individual
AZEEM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 E SEMINOLE ST STE 430, SPRINGFIELD, MO 65804-2227
(417) 820-9393
Mailing address
1229 E SEMINOLE ST STE 430, SPRINGFIELD, MO 65804-2227
(573) 864-9946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019022801
MO
207W00000X
Ophthalmology Physician
2020012123
MO
207W00000X
Ophthalmology Physician
U1695
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
2025029809
MO
Other
Enumeration date
06/25/2019
Last updated
10/06/2025
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