Organization
INTERNAL MEDICINE & GERIATRICS ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIRA MIR ASADULLAH MD (OWNER)
(636) 916-9091
Entity
Organization
Contact information
Practice address
70 JUNGERMANN CIR, SUITE 202, SAINT PETERS, MO 63376-1622
(636) 916-9091
(636) 447-9059
Mailing address
1836 LACKLAND HILL PKWY, ATTN CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
(314) 872-1308
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2005014820
MO
Other
Enumeration date
03/18/2008
Last updated
04/24/2008
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