Individual
DR. KULSOOM FATIMA JUNAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 LEMAY FERRY RD, SAINT LOUIS, MO 63125-2408
(314) 776-7990
(314) 772-2257
Mailing address
11 SUMMERHILL LN, TOWN AND COUNTRY, MO 63017-8408
(314) 922-2662
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2001017151
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205741903
—
MO
Enumeration date
11/13/2006
Last updated
05/17/2021
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