Fareesa Khan LLC
NPI 1780923490 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Saint Louis, MO
Fareesa Khan LLC is a Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician organization in Saint Louis, MO (NPI 1780923490).
Provider details
- NPI number
- 1780923490
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fareesa Khan, Owner(636) 675-3107
- License
- 112917 (MO)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense 112917 (MO)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-02-01
- Last updated
- 2020-07-10
- Certified
- 2020-07-10
Frequently asked questions
- What is Fareesa Khan LLC's NPI number?
- Fareesa Khan LLC's National Provider Identifier (NPI) is 1780923490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fareesa Khan LLC?
- Fareesa Khan LLC is classified in the NPPES registry as Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (Allopathic & Osteopathic Physicians).
- Where is Fareesa Khan LLC located?
- Fareesa Khan LLC's practice location on file with NPPES is 10004 Kennerly Rd Ste 255a, Saint Louis, MO 63128-2184.
- What is Fareesa Khan LLC's phone number?
- The practice phone number listed in the NPPES registry for Fareesa Khan LLC is (314) 270-9880.
- Who is the authorized official for Fareesa Khan LLC?
- The authorized official listed on Fareesa Khan LLC's NPPES record is Fareesa Khan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fareesa Khan LLC's NPI active?
- Yes — Fareesa Khan LLC's NPI (1780923490) is active in the NPPES registry as of the last update on 2020-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.