Individual
SOFIYA AZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12680 OLIVE BLVD STE 100, SAINT LOUIS, MO 63141-6322
(314) 251-8900
Mailing address
PO BOX 776084, CHICAGO, IL 60677-3643
(314) 251-8900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023020180
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2020
Last updated
08/30/2023
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