Provider Demographics
NPI:1932675170
Name:KHAN, FEHMAN (MD)
Entity Type:Individual
Prefix:
First Name:FEHMAN
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:224 S WOODS MILL RD STE 400
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3513
Mailing Address - Country:US
Mailing Address - Phone:314-205-6050
Mailing Address - Fax:314-205-6350
Practice Address - Street 1:1 CHILDREN'S PL MSC 8116-0043-09
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-454-6093
Practice Address - Fax:844-965-9624
Is Sole Proprietor?:No
Enumeration Date:2018-10-15
Last Update Date:2024-02-21
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Provider Licenses
StateLicense IDTaxonomies
MO2021020179208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2018037265OtherMISSOURI STATE LICENSE