Individual
DR. AMJAD TAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S BALLAS RD, SAINT LOUIS, MO 63122-5314
(602) 346-7054
Mailing address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 331-6665
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2013022106
MO
Other
Enumeration date
07/16/2010
Last updated
10/06/2022
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