Naba Razi Khan, OD
Optometrist in Saint Louis, MO. Individual provider (NPI-1).
NPI number1114579554
StatusActive
Last updated in NPPESOct 29, 2020
Details
- NPI
- 1114579554
- Entity type
- Individual (NPI-1)
- Name
- Naba Razi Khan
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2019
- Certification date
- Oct 29, 2020
- Last updated
- Oct 29, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1890-826AT | LA | Yes |
Practice location
9924 Kennerly RdSaint Louis, MO 63128-2704
Phone 314-842-5858
Mailing address
1301 Coates Bluff Dr Apt 918Shreveport, LA 71104-2859
Phone 214-543-4019
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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