Provider Demographics
NPI:1295046571
Name:EL KHATIB, JASMINE HASSAN (DO)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:HASSAN
Last Name:EL KHATIB
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Gender:F
Credentials:DO
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Mailing Address - Street 1:COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
Mailing Address - Street 2:1511 CHRISTY DRIVE
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101
Mailing Address - Country:US
Mailing Address - Phone:573-632-2777
Mailing Address - Fax:573-632-2769
Practice Address - Street 1:COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
Practice Address - Street 2:1511 CHRISTY DRIVE
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101
Practice Address - Country:US
Practice Address - Phone:573-632-2777
Practice Address - Fax:573-632-2769
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2022-04-06
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Provider Licenses
StateLicense IDTaxonomies
MO2010021062208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics