Individual
MR. MUHADDIS EJAZ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD, 3 SOUTHBRIDGE, ST LOUIS, MO 63128
(314) 525-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2023032162
MO
208M00000X
Hospitalist Physician
Primary
2023032162
MO
Other
Enumeration date
04/14/2020
Last updated
12/14/2023
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