MRS. SOFIA S KHAN (NPI# 1770580730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770580730 |
| Entity Type | Individual |
| Full Name | MRS. SOFIA S KHAN |
| Credential | M.D. |
| Practice Address |
17844 E 23rd St S Independence MO 64057-1840 |
| Mailing Address |
2845 W 139th Ter Leawood KS 66224-3931 |
| Practice Telephone | 8162543652 |
| Mailing Telephone | 9138147182 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 111310 | MO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 04-26409 | KS | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | M0111310 | MO | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 111310 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3825 S Noland Rd, Independence, MO 640553344 | 4017709546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659442127 | Sofia S Khan | Pediatrics | 4501 Maccorkle Avenue, Se, Charleston, WV 25304 | 2006-11-13 |
| 1760471569 | Sofia Khan | Pediatrics | 1835 N Corporate Lakes Blvd, Weston, FL 33326-3211 | 2005-10-14 |
| 1376912170 | Sofia Khan | Social Worker | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2015-09-22 |
| 1841227592 | Sofia Aman Khan | Emergency Medicine | 2701 N. Decatur Road, Decatur, GA 30033 | 2006-06-27 |
| Street Address |
17844 E 23RD ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107334 | Alyssa Strain | Social Worker | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-09-02 |
| 1285242883 | Natalie Msechu | Social Worker | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-07-20 |
| 1275151771 | Johnna Russell | Social Worker | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-07-10 |
| 1194356899 | Jill Marie Tam | Counselor | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-01-31 |
| 1700416187 | Kyle Lowe | Counselor | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-01-24 |
| 1669002747 | Casey Becker | Counselor | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-01-17 |
| 1003454182 | Heather Hayes | Social Worker | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-12-19 |
| 1235777509 | Justin Toh | Counselor | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-12-17 |
| 1467003327 | Katrina Fox | Social Worker | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-09-23 |
| 1255992764 | Sarah Wright | Nurse Practitioner | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194000380 | Carol Ann Salewski | Internal Medicine | 4804 Hickory Nut Ln, Independence, OH 44131-4640 | 2011-10-19 |
| 1649598061 | Kathryn Elizabeth Richards | Internal Medicine | Center for Connected Care, 6801 Brecksville Rd, Suite 10/rk30, Independence, OH 44131 | 2010-05-10 |
| 1770719346 | Jayasheel Onesimus Eshcol | Internal Medicine | 19550 E 39th St S Ste 215, Independence, MO 64057 | 2009-06-09 |
| 1720268410 | Jinu Thomas | Internal Medicine | 19600 E 39th St., Independence, MO 64057-2301 | 2007-11-09 |
| 1043426844 | Robert E. Crook | Internal Medicine | 6801 Brecksville Rd # Rk30, Independence, OH 44131-5032 | 2007-05-16 |
| 1841333440 | Aruna Rokkam | Internal Medicine | 3889 S Jackson Dr, Independence, MO 64057-1927 | 2007-02-14 |
| 1962580258 | Mohammad A Tulimat | Internal Medicine | 2025 Declaration Dr, Independence, KY 41051-7983 | 2006-11-02 |
| 1982799185 | Mark Kofi Kyei | Internal Medicine | 6100 W Creek Rd, Independence, OH 44131-2177 | 2006-10-04 |
| 1891719985 | Charles Raymond Genovese Jr. | Internal Medicine | 312 East Railroad Avenue, Independence, LA 70443 | 2006-07-26 |
| 1366465817 | Melissa J Mcintosh | Internal Medicine | 510 Peter Pan Rd, Independence, KS 67301-7300 | 2006-07-25 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
Please comment or provide details below to improve the information on MRS. SOFIA S KHAN.
| 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.