Organization
COMPREHENSIVE MEDICAL AND INFUSION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID WAHEED MD (OWNER)
(573) 473-4020
Entity
Organization
Contact information
Practice address
809 MEDICAL PARK #103, MEXICO, MO 65265
(573) 581-3991
Mailing address
PO BOX 147, MEXICO, MO 65265
(573) 473-4020
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206844219
—
MO
Enumeration date
07/29/2022
Last updated
07/29/2022
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