# ABDUL NAUSHAD MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Pain Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306839196
- **Authorized official:** DR. ABDUL N NAUSHAD M.D. (PRESIDENT)
- **Authorized official phone:** (636) 638-1506

## Contact information

- **Practice address:** 2865 JAMES BLVD, POPLAR BLUFF, MO 63901-2803
- **Practice address phone:** (636) 638-1506
- **Practice address fax:** (636) 638-1507
- **Mailing address:** 622 COLLINS DR, STE. 200, FESTUS, MO 63028-2077
- **Mailing address phone:** (636) 638-1506
- **Mailing address fax:** (636) 638-1507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | MO | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | MO | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 03/08/2017
