Fareesa G Khan


Address: 10010 Kennerly Rd, Saint Louis, MO 63128-2106

Fareesa G Khan (NPI# 1790702322, PAC ID# 3678522034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1790702322
PAC ID by PECOS 3678522034
Professional Enrollment ID I20050316000118
Full Name Fareesa G Khan
Address 10010 Kennerly Rd
Saint Louis
MO 63128-2106
Gender F
Credential MD
Medical School UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year 1997
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260077 ST ANTHONY'S MEDICAL CENTER
260020 MERCY HOSPITAL ST LOUIS
260179 ST LUKES HOSPITAL
260023 MERCY HOSPITAL JEFFERSON

Other Locations

Address Phone Organization
1101 W Liberty St, Suite 2050, Farmington, MO 63640-1921
1103 W Liberty St, Farmington, MO 63640-1921
10004 Kennerly Rd, Suite 255a, Saint Louis, MO 63128-2184
10010 Kennerly Rd, Saint Louis, MO 63128-2106
3015 N Ballas Rd, Missouri Baptist Medical Center, Saint Louis, MO 63131-2329
615 S New Ballas Rd, Mercy Hospital St Louis, Saint Louis, MO 63141-8221

Organization Information

Office Location

Street Address 10010 KENNERLY RD
City SAINT LOUIS
State MO
Zip 63128-2106

Physicians in the same location

Name Specialty Organization Address
Amy Cabbabe Anesthesiology South County Anesthesia Associates, Ltd. 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Aaron T Toben Certified Registered Nurse Anesthetist (crna) South County Anesthesia Associates, Ltd. 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Kosuri V Subbaiah Anesthesiology South County Anesthesia Associates, Ltd. 10010 Kennerly Rd, Saint Louis, MO 63128-2106
John E Delrosario Physical Medicine and Rehabilitation Signature Medical Group, Inc. 10010 Kennerly Rd, Suite 4, Saint Louis, MO 63128-2106
Ravichandra R Kasireddy Internal Medicine St. Anthonys Physician Organization Hospitalist Services L.c. 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Kaci Lyne Durbin Obstetrics/gynecology Mercy Womens Services LLC 10010 Kennerly Rd, Fl 4, Saint Louis, MO 63128-2106
David W Chien Anesthesiology South County Anesthesia Associates, Ltd. 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Erin M Griffith Certified Registered Nurse Anesthetist (crna) South County Anesthesia Associates, Ltd. 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Michelle A Hough Certified Registered Nurse Anesthetist (crna) South County Anesthesia Associates, Ltd. 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Khaled Jumean Internal Medicine St. Anthonys Physician Organization Hospitalist Services L.c. 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Rachel M Ott Nurse Practitioner St Anthony's Physician Organization 12700 Kennerly Rd, Suite 220, Saint Louis, MO 63128
Shephali H Wulff Infectious Disease Infectious Diseases PC 330 1st Capitol Dr, Suite 260, St Charles, MO 63128
Marie E Wehner Optometry Vision Care Consultants Inc 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250
David Brian Seibel Optometry Vision Care Consultants Inc 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250
Craig Mathew Brawley Optometry Vision Care Consultants Inc 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250
John D Friederich Optometry Vision Care Consultants Inc 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250
Michelle E Nogalski Physical Therapy Prorehab PC 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307
Yvonne M Layugan Family Medicine 123 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307
Megan R Anna Physical Therapy Prorehab PC 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307
Christopher J Tabor Physical Therapy The Physical Therapy Center, Inc. 12048 Tesson Ferry Rd, Saint Louis, MO 63128-1727
Find all physicians in zip 63128

Competitor

Search similar physicians

City SAINT LOUIS
Zip Code 63128
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty SAINT LOUIS + OBSTETRICS/GYNECOLOGY

Improve Information

Please comment or provide details below to improve the information on Fareesa G Khan.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Trending Searches