Individual
MUDASIR ASIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 S JEFFERSON AVE, STE 118, SAINT LOUIS, MO 63118-3930
(314) 776-7999
Mailing address
3535 S JEFFERSON AVE, STE 118, SAINT LOUIS, MO 63118-3930
(314) 776-7999
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2016008789
MO
390200000X
Student in an Organized Health Care Education/Training Program
2012021716
MO
Other
Enumeration date
07/10/2012
Last updated
07/07/2016
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