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Organization
ABDUL NAUSHAD MD PC
Active
Organization
ABDUL NAUSHAD MD PC
Active
Other names
Advanced Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL N NAUSHAD M.D. (PRESIDENT)
(636) 638-1506
Entity
Organization
Contact information
Practice address
2865 JAMES BLVD, POPLAR BLUFF, MO 63901-2803
(636) 638-1506
(636) 638-1507
Mailing address
622 COLLINS DR, STE. 200, FESTUS, MO 63028-2077
(636) 638-1506
(636) 638-1507
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
MO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
MO
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/26/2005
Last updated
03/08/2017
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