Provider Demographics
NPI:1871381525
Name:KHAN, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:KHAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 LEE'S SUMMIT RD.
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64139
Mailing Address - Country:US
Mailing Address - Phone:816-404-7753
Mailing Address - Fax:
Practice Address - Street 1:7900 LEE'S SUMMIT RD.
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64139
Practice Address - Country:US
Practice Address - Phone:816-404-7753
Practice Address - Fax:816-404-7756
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program