Individual
DR. IQBAL AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12700 SOUTHFORK RD, SUITE 105, SAINT LOUIS, MO 63128-3201
(318) 525-1866
(314) 525-1868
Mailing address
12700 SOUTHFORK RD, SUITE 105, SAINT LOUIS, MO 63128-3201
(318) 525-1866
(314) 525-1868
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
110953
MO
208M00000X
Hospitalist Physician
110953
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204876908
—
MO
Enumeration date
09/19/2005
Last updated
01/20/2012
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