Organization
ALKAMAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MHD DAGHOSTANI SURGICAL ASSISTANT (PRESIDENT)
(407) 486-6825
Entity
Organization
Contact information
Practice address
23 BAXTER LN, CHESTERFIELD, MO 63017-4907
(407) 486-6825
Mailing address
23 BAXTER LN, CHESTERFIELD, MO 63017-4907
(407) 486-6825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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