Khan, Mubashir

Khan, Mubashir is an individual health care provider with primary practice located at 3901 S Fremont Ave , Springfield MO 65804-6538. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Khan, Mubashir can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3901 S Fremont Ave Springfield MO 65804-6538
Phone: (417) 875-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01061259 Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2009002056 Missouri
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X E-11715 Arkansas

Profile Details

NPI number 1417990425
LBN Legal business name Khan, Mubashir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 31st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417990425 NPPES
Arkansas MEDICAID 178829001
Arkansas Other P00753026
Arkansas Other 431560263
Arkansas MEDICAID 205520000

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