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Individual

DR. ALI HUSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10010 KENNERLY RD, 3 SOUTH BRIDGE, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378
Mailing address
10010 KENNERLY RD, 3 SOUTHBRIDGE, SAINT LOUIS, MO 63128-2106
(314) 525-1328
(314) 525-1378

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036118425
IL
207R00000X
Internal Medicine Physician
Primary
2011040558
MO

Other

Enumeration date
06/14/2007
Last updated
06/06/2023
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