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Individual

BASSAM MOHAMMED ABDO MUTHANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 HOSPITAL DR # DC043.00, COLUMBIA, MO 65212-1000
(573) 884-6393
(573) 884-4533
Mailing address
1 HOSPITAL DR # DC043.00, COLUMBIA, MO 65212-1000
(573) 884-6393
(573) 884-4533

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125081059
IL
207R00000X
Internal Medicine Physician
Primary
2025038446
MO

Other

Enumeration date
08/09/2022
Last updated
09/15/2025
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