Individual
DR. MUHAMMAD ISHAQ CHISHTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6680 CHIPPEWA ST, SUITE 220, SAINT LOUIS, MO 63109-2537
(314) 351-0101
(314) 351-4697
Mailing address
6680 CHIPPEWA ST, SUITE 220, SAINT LOUIS, MO 63109-2537
(314) 351-0101
(314) 351-4697
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R5030
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319610516
MEDICARE PTAN
MO
Enumeration date
08/24/2006
Last updated
01/22/2014
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