Individual
UZMA NAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 509-5305
(314) 251-4454
Mailing address
200 RIVERFRONT DR, APT 23C, DETROIT, MI 48226-4525
(313) 402-8831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024021809
MO
208600000X
Surgery Physician
4301101363
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202473
GENERAL SURGERY
MI
Enumeration date
06/29/2012
Last updated
06/12/2024
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