Provider Demographics
NPI:1669449591
Name:KHAN, AHMAREEN H (MD)
Entity Type:Individual
Prefix:MRS
First Name:AHMAREEN
Middle Name:H
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:400 1ST CAPITOL DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2880
Mailing Address - Country:US
Mailing Address - Phone:636-669-0300
Mailing Address - Fax:636-669-0301
Practice Address - Street 1:400 1ST CAPITOL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2880
Practice Address - Country:US
Practice Address - Phone:636-669-0300
Practice Address - Fax:636-669-0301
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO108033207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204972905Medicaid
MO437468OtherHEALTHLINK
MO122700OtherBCBS OF MO
MO36152OtherHEALTHCARE USA
MO188931OtherGROUP HEALTH PLAN
MOP00107470OtherRAILROAD MEDICARE
MO917344189Medicare ID - Type Unspecified
MO204972905Medicaid