Individual provider · Type 1 NPI

Sheryar Ali Khan, DO

Student in an Organized Health Care Education/Training Program · Poplar Bluff, MO

NPI number 1831770122 Active

Practice location

3100 Oak Groove Road
Poplar Bluff, MO 63901

Call (573) 776-9178 Map

Fax (573) 776-9086

Mailing address

17907 Tenasserim Pine Trace Blvd
Richmond, TX 77407

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831770122

Sheryar Ali Khan, DO's National Provider Identifier is 1831770122, issued on Apr 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Apr 19, 2021.