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General NPI Number Information
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NPI Number | 1215824271
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Entity Type | Individual
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Provider Name | ARSALAN ALI KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 4590 NASH WAY
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1020
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Country | US
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Telephone | 314-454-8087
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Fax |
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Provider Business Mailing Address
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Address Line | 4466 OLIVE ST APT 105
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1853
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Country | US
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Telephone | 773-640-4114
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | 2025024174
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 2025024174
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2025024174
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License Number State | MO
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