Individual
DR. SHAHBAZ M KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4240 BLUE RIDGE BLVD, SUITE 301, KANSAS CITY, MO 64133
(816) 291-4700
(816) 291-4600
Mailing address
4240 BLUE RIDGE BLVD, STE 301, KANSAS CITY, MO 64133-1705
(816) 291-4700
(816) 291-4600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2000145787
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200307930A
—
KS
05
—
205715105
—
MO
Enumeration date
10/12/2006
Last updated
11/30/2017
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