Organization
MUSADDEQUE AHMAD M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSADDEQUE AHMAD MD (PRESIDENT)
(636) 933-6300
Entity
Organization
Contact information
Practice address
1390 HWY 61 STE 2100, FESTUS, MO 63028
(636) 933-6300
(636) 933-6406
Mailing address
PO BOX 69, FESTUS, MO 63028-0069
(636) 933-6300
(636) 933-6406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
107382
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508208311
—
MO
Enumeration date
05/03/2007
Last updated
10/28/2018
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