Organization
MID-AMERICA HEART AND VASCULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZAMUDDIN KHAJA (PHYSICIAN)
(636) 931-7101
Entity
Organization
Contact information
Practice address
1439 US HIGHWAY 61 STE A, FESTUS, MO 63028-4154
(636) 931-7101
Mailing address
1439 US HIGHWAY 61 STE A, FESTUS, MO 63028-4154
(636) 931-7101
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/16/2020
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