Individual
AYAAZ A HABIBULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W NIFONG BLVD STE 120, COLUMBIA, MO 65203-5615
(573) 444-6331
(855) 576-4137
Mailing address
900 W NIFONG BLVD STE 101, COLUMBIA, MO 65203-4469
(573) 499-9009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125071326
IL
207Q00000X
Family Medicine Physician
Primary
2020019624
MO
Other
Enumeration date
06/21/2017
Last updated
11/18/2024
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