Individual
TALA MARIA NASHAWATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W NIFONG BLVD, BLDG 3, STE 130, COLUMBIA, MO 65203-5615
(573) 884-2356
(573) 884-0913
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
Primary
2025032323
MO
208000000X
Pediatrics Physician
2025032323
MO
208M00000X
Hospitalist Physician
2025032323
MO
Other
Enumeration date
03/29/2021
Last updated
08/01/2025
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