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Individual

DR. SAADIA TAUFIQ RAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6704 KEATON CORP PKWY, O FALLON, MO 63368-8680
(636) 300-9596
(636) 300-9598
Mailing address
6704 KEATON CORP PKWY, O FALLON, MO 63368-8680
(636) 300-9596
(636) 300-9598

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2003010750
MO
207R00000X
Internal Medicine Physician
2003010750
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209080506
MO
Enumeration date
10/02/2006
Last updated
11/12/2021
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