Individual
MOHAMED ABOU SHOUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1755 S GRAND BLVD, SAINT LOUIS, MO 63104-1540
(305) 243-2020
Mailing address
1755 S GRAND BLVD, SAINT LOUIS, MO 63104-1540
(305) 243-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2011017310
MO
207W00000X
Ophthalmology Physician
MFC1668
FL
Other
Enumeration date
08/23/2010
Last updated
05/19/2015
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