MOHAMMAD KHASAWNEH M.D. NPI 1710554985

NPI Information

Mohammad Khasawneh, M.D. is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mohammad Khasawneh, M.D. NPI is 1710554985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1225 SOUTH GRAND BLVD
SLUCARE CANTER FOR SPECIALIZED MEDICINE
SAINT LOUIS, MO
ZIP 63104-951
Phone: (314) 977-6082
Fax: (314) 977-6086

The enumeration date for this NPI number is 6/7/2021 and was last updated on 6/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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