MAHRUKH KHAN (NPI# 1568596336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568596336 |
| Entity Type | Individual |
| Full Name | MAHRUKH KHAN |
| Credential | M.D. |
| Practice Address |
7491 Big Bend Blvd. St. Louis MO 63119 |
| Mailing Address |
Po Box 2153 Dept #30704 Birmingham AL 35287-9257 |
| Practice Telephone | 3149613038 |
| Practice Fax Number | 3149616731 |
| Mailing Telephone | 3149613038 |
| Mailing Fax Number | 3149616731 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
112340 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081200 | Mahrukh Khan | Nurse Practitioner | 7474 Greenway Center Dr Ste 1100, Greenbelt, MD 20770-3500 | 2019-12-23 |
| 1629577861 | Mahrukh Khan | Behavioral Analyst | 204 E 35th St, New York, NY 10016-4202 | 2018-02-02 |
| 1518417310 | Mahrukh Khan | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2016-10-05 |
| 1467426247 | Mahrukh S Khan | Psychiatry & Neurology | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2006-02-16 |
| Street Address |
7491 BIG BEND BLVD. |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728207 | Bryanna Scherer | Family Medicine | 961 Weatherstone Dr, Saint Charles, MO 63304-4520 | 2020-10-20 |
| 1689210924 | Jenna Matthews | Family Medicine | 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685 | 2019-11-21 |
| 1396210852 | Catholic Charities of St. Louis | Family Medicine | 10120 Crest Rd., St. Joachim Catholic Church-attn: Rural Parish Clinic, Cadet, MO 63630 | 2018-10-10 |
| 1437686508 | Paul Anthony Williams Jr. | Family Medicine | 4431 Mcpherson Ave, Saint Louis, MO 63108-2505 | 2017-05-18 |
| 1548516685 | John Jung | Family Medicine | 3014 Blattner Dr, Cape Girardeau, MO 63703-6361 | 2012-07-26 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1245494665 | Jeffrey A Wool | Family Medicine | 1531 E 32nd St, Suite 1a, Joplin, MO 64804-2925 | 2008-07-15 |
| 1245407543 | Harry D Haas | Family Medicine | 16703 N Calico Rd, Versailles, MO 65084-6434 | 2008-05-15 |
| 1194902510 | Gary Hubert Campbell | Family Medicine | 21 Conway Springs Dr, Chesterfield, MO 63017-3411 | 2008-01-28 |
| 1669525275 | Stefan Scheidler | Family Medicine | 301 South Byp, Kennett, MO 63857-3252 | 2007-01-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.