Individual
ADIL IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 781-7200
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 781-7200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021030581
MO
208M00000X
Hospitalist Physician
Primary
2021030581
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021030581
MO LICENSE
MO
Enumeration date
03/19/2018
Last updated
08/02/2021
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