MEDICARE: GATEWAY HEALTHCARE LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician

General Provider Information

NPI Number	:	1861408650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY HEALTHCARE LTD

Provider Business Mailing Address
First Line	:	PO BOX 2153 DEPT 30704
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35287-9257
Country	:	US
Telephone Number	:	314-961-3038
Fax Number	:

Provider Business Practice Location Address
First Line	:	7491 BIG BEND BLVD
Second Line	:
City	:	WEBSTER GROVES
State	:	MO
Zip	:	63119-2101
Country	:	US
Telephone Number	:	314-961-3038
Fax Number	:	314-961-6731

Authorized Official
Title or Position	:	CEO
Name	:	MS. MAHRUKH KHAN
Credential	:	M.D.
Telephone Number	:	314-961-3038

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	08/19/2025

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