Provider Demographics
NPI:1548396336
Name:KHAN, ABID RAZA (MD)
Entity Type:Individual
Prefix:MR
First Name:ABID
Middle Name:RAZA
Last Name:KHAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2340 E MEYER BLVD, BLDG 2
Mailing Address - Street 2:SUITE
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132
Mailing Address - Country:US
Mailing Address - Phone:816-276-1700
Mailing Address - Fax:816-276-1703
Practice Address - Street 1:2340 E MEYER BLVD, BLDG 2
Practice Address - Street 2:SUITE
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132
Practice Address - Country:US
Practice Address - Phone:816-276-1700
Practice Address - Fax:816-276-1703
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2021-01-22
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Provider Licenses
StateLicense IDTaxonomies
KS0433008207RN0300X
MO2008006956207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2008586050AMedicaid