Individual
NIDA JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6339
(314) 251-4564
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6339
(314) 251-4564
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2020008146
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2016
Last updated
08/30/2021
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