Individual
ADNAN MANZOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5772
(314) 996-7691
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(314) 996-5772
(314) 996-7691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TP636
KY
208D00000X
General Practice Physician
036.162211
IL
208M00000X
Hospitalist Physician
Primary
2025052742
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2020
Last updated
02/11/2026
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