Individual
NISMA JAVED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
1201 S GRAND BLVD, SSM SAINT LOUIS UNIVERSITY HOSPITAL, SAINT LOUIS, MO 63104
(314) 617-2355
(314) 768-6616
Mailing address
1008 S SPRING AVE, SLUCARE ACADEMIC PAVILION, SAINT LOUIS, MO 63110
(314) 617-3137
(314) 977-3127
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
09/09/2024
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