Provider Demographics
NPI:1790993863
Name:KHAN, ADEEL IQBAL (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEEL
Middle Name:IQBAL
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:652 WYNDHAM CROSSINGS CIR
Mailing Address - Street 2:
Mailing Address - City:DES PERES
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2149
Mailing Address - Country:US
Mailing Address - Phone:716-553-5123
Mailing Address - Fax:
Practice Address - Street 1:901 PATIENTS FIRST DR
Practice Address - Street 2:PULMONARY DIVISION 2ND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-4700
Practice Address - Country:US
Practice Address - Phone:636-231-3695
Practice Address - Fax:636-231-3696
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2012-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI54101-020207RS0012X, 207R00000X, 207RP1001X, 207RC0200X
MO2011001472207RP1001X, 207RS0012X, 207RC0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine