Provider Demographics
NPI:1760478135
Name:KHAN, UZMA Z (MD)
Entity Type:Individual
Prefix:
First Name:UZMA
Middle Name:Z
Last Name:KHAN
Suffix:
Gender:F
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:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-882-3818
Practice Address - Fax:573-884-4609
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103642207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO100111OtherBLUE SHIELD/BLUE CHOICE
MO678108OtherHEALTHLINK
MO3300227OtherUNITED HEALTHCARE
MO208629600Medicaid
MO208629600Medicaid
MO678108OtherHEALTHLINK
MOP00185932Medicare PIN
G35028Medicare UPIN
MO925721882Medicare PIN