Provider Demographics
NPI:1326200767
Name:KHALID, HAROON (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROON
Middle Name:
Last Name:KHALID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NE 54TH ST UNIT 120
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-4338
Mailing Address - Country:US
Mailing Address - Phone:816-453-7771
Mailing Address - Fax:816-452-7980
Practice Address - Street 1:200 NE 54TH ST UNIT 120
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4338
Practice Address - Country:US
Practice Address - Phone:816-453-7771
Practice Address - Fax:816-452-7980
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018008995208M00000X
KS04-35191207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty