Organization
MOHIDEEN A JAMALUDDIN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHIDEEN A JAMALUDDIN M.D. (PRESIDENT)
(636) 937-0200
Entity
Organization
Contact information
Practice address
420 W MAIN ST, FESTUS, MO 63028-1800
(636) 937-0200
(636) 937-9693
Mailing address
PO BOX 189, FESTUS, MO 63028-0189
(636) 937-0200
(636) 937-9693
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R9519
MO
Other
Enumeration date
02/07/2013
Last updated
06/27/2013
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