Individual
DR. SHERYAR ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 OAK GROOVE ROAD, POPLAR BLUFF, MO 63901
(573) 776-9178
(573) 776-9086
Mailing address
17907 TENASSERIM PINE TRACE BLVD, RICHMOND, TX 77407
(832) 612-9607
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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