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Organization

SHAHBAZ RIAZ MEDICAL PC

Active
Other names
SHAHBAZ RIAZ MEDICAL PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAHBAZ A RIAZ MD (CEO)
(312) 498-3792
Entity
Organization

Contact information

Practice address
1630 E PRIMROSE ST, SPRINGFIELD, MO 65804-7929
(417) 885-4700
(417) 885-4777
Mailing address
10 KAYS POINT CT, LAKE OZARK, MO 65049-4729
(312) 498-3792
(573) 693-1445

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008022457
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2008022457
STATE LIC
MO
Enumeration date
10/31/2017
Last updated
10/31/2017
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