Individual
MUDASIR KAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
(314) 977-4880
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2020043099
MO
390200000X
Student in an Organized Health Care Education/Training Program
2016019428
MO
Other
Enumeration date
06/27/2016
Last updated
06/14/2024
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