Healthcare Provider Details

I. General information

NPI: 1326200767
Provider Name (Legal Business Name): HAROON KHALID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 NE BROOKTREE LN
GLADSTONE MO
64119-1833
US

IV. Provider business mailing address

2727 NE BROOKTREE LN
GLADSTONE MO
64119-1833
US

V. Phone/Fax

Practice location:
  • Phone: 816-453-7771
  • Fax: 816-452-7980
Mailing address:
  • Phone: 816-453-7771
  • Fax: 816-452-7980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number2018008995
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: