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Individual

DR. SYEDA LAILA ALQADRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
33 E BROADWAY STE 125, COLUMBIA, MO 65203-4200
(844) 758-4673
(573) 554-3962
Mailing address
33 E BROADWAY STE 125, COLUMBIA, MO 65203-4200
(844) 758-4673
(573) 554-3962

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2014009623
MO
2084N0400X
Neurology Physician
Primary
2023026270
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2014009623
MISSOURI TEMPORARY LICENSE
MO
01
2023026270
MO LICENSE
MO
Enumeration date
06/29/2012
Last updated
08/30/2023
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