Individual
AMANA N NASIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, CHILDREN'S HOSPITAL, GROUND FLOOR, SUITE Y-G224, SAINT LOUIS, MO 63141-8221
(314) 251-5550
(314) 251-5552
Mailing address
615 S NEW BALLAS RD STE Y-G230, SAINT LOUIS, MO 63141-8221
(314) 251-5550
(314) 251-5552
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
2010037942
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008920
—
WV
Enumeration date
05/10/2007
Last updated
09/05/2023
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