FAREESA KHAN LLC – NPI #1780923490
Obstetrics & Gynecology

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

FAREESA KHAN LLC is a provider located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1780923490 to FAREESA KHAN LLC on February 01, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VF0040X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Female Pelvic Medicine and Reconstructive Surgery

The NPI profile was previously updated about 6 years ago on Jul 10, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAREESA KHAN LLC below.

NPI Profile for
FAREESA KHAN LLC

NPI Number
1780923490
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAREESA KHAN LLC
Primary location
10004 KENNERLY RD STE 255A
SAINT LOUIS, MO 63128-2184
Phone: (314) 270-9880 Fax:
Mailing address
PO BOX 410085
SAINT LOUIS, MO 63141-0085
Phone: (636) 675-3107 Fax:
Organization Subpart
No
Authorized Official
FAREESA KHAN
OWNER
Phone: (636) 675-3107
Updated
Certification Date
Jul 10, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FAREESA KHAN LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO203820014
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VF0040X
- Obstetrics & Gynecology / Female Pelvic Medicine and Reconstructive Surgery (Primary)
MO 112917

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.