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Individual

DR. AZMI RAMIN JAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 448-5623
Mailing address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(816) 514-1215

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
87178
GA
2084P0800X
Psychiatry Physician
ME147650
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101278620
VIRGINIA MEDICAL LICENSE
VA
01
147650
FLORIDA MEDICAL LICENSE
FL
01
2022039053
MISSOURI MEDICAL LICENSE
MO
01
81261
WISCONSIN MEDICAL LICENSE
WI
01
87178
GEORGIA MEDICAL LICENSE
GA
01
MD-51041
IOWA MEDICAL LICENSE
IA
Enumeration date
04/11/2017
Last updated
05/14/2024
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