Individual
MEHWISH ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(504) 813-0263
Mailing address
3933 MARTINIQUE AVE, KENNER, LA 70065-3124
(504) 813-0263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021036907
MO
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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