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Dr. Jasmine Hassan El Khatib, D.O.

Pediatrics in Jefferson City, MO. Individual provider (NPI-1).

NPI number1295046571
StatusActive
Last updated in NPPESApr 6, 2022

Details

NPI
1295046571
Entity type
Individual (NPI-1)
Name
Dr. Jasmine Hassan El Khatib
Credential
D.O.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 1, 2010
Certification date
Mar 24, 2022
Last updated
Apr 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics2010021062MOYes

Practice location

Community Health Center Of Central Missouri
1511 Christy Drive
Jefferson City, MO 65101

Phone 573-632-2777 · Fax 573-632-2769

Mailing address

Community Health Center Of Central Missouri
1511 Christy Drive
Jefferson City, MO 65101

Phone 573-632-2777 · Fax 573-632-2769

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