Individual
MOHAMMAD ASIF QAISRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 STIFEL LANE DR, CHESTERFIELD, MO 63017-8048
(314) 439-9033
(314) 206-3992
Mailing address
1721 STIFEL LANE DR, CHESTERFIELD, MO 63017-8048
(314) 439-9033
(314) 206-3992
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2000169534
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.122309
ILLINOIS LICENSE
IL
01
—
200009702
BNDD
MO
01
—
2000169534
LICENSE NUMBER
MO
05
—
205163918
—
MO
Enumeration date
07/19/2006
Last updated
03/07/2023
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