Individual
SYED K IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PORTLAND ST, COLUMBIA, MO 65201-6525
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2001021520
MO
2084P0800X
Psychiatry Physician
45466
OK
2084P0800X
Psychiatry Physician
C161906
CA
2084P0800X
Psychiatry Physician
E-19220
AR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2001021520
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366428286
—
MO
Enumeration date
12/22/2005
Last updated
02/05/2026
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