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Organization
SYED SHAHID MUMTAZ MD
Active
Organization
SYED SHAHID MUMTAZ MD
Active
Parent organization
CHESTERFIELD VALLEY PSYCHIATRY
Other names
Chesterfield Valley Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESTERFIELD VALLEY PSYCHIATRY
Authorized official
DR. SYED SHAHID MUMTAZ MD (OWNER)
(636) 519-7404
Entity
Organization
Contact information
Practice address
17269 WILD HORSE CREEK RD, #250, CHESTERFIELD, MO 63005-1360
(636) 519-7404
(636) 537-0043
Mailing address
17269 WILD HORSE CREEK RD, #250, CHESTERFIELD, MO 63005-1360
(636) 519-7404
(636) 537-0043
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD114459
MO
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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