Organization
SHAHBAZ RIAZ MEDICAL PC
Active
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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