Individual
SYED M ARSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2227 VADALABENE DR, SUITE 100, MARYVILLE, IL 62062-5823
(618) 288-1140
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 502-7000
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036140637
IL
207RH0003X
Hematology & Oncology Physician
2015026177
MO
207RH0003X
Hematology & Oncology Physician
40555
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015026177
LICESNSE
MO
01
—
611243
HEALTHLINK
—
05
—
7100020340
—
KY
01
—
P00395450
RR MEDICARE
KY
Enumeration date
02/22/2006
Last updated
08/19/2016
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