Individual
DR. ABDUL MATEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 667-2666
Mailing address
304 N OLIVE ST, NEVADA, MO 64772-1927
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2001031726
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205834500
—
MO
Enumeration date
02/16/2007
Last updated
07/08/2007
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