Individual
ABUL SHAMIM AHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
(573) 634-2033
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020037788
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2020037788
MO
208M00000X
Hospitalist Physician
Primary
2020037788
MO
Other
Enumeration date
02/15/2008
Last updated
10/30/2024
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