Individual
NADEEM ASLAM SUFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5772
Mailing address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2002010430
MO
208M00000X
Hospitalist Physician
Primary
2002010430
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629041553
—
IL
05
—
208371708
—
MO
Enumeration date
02/10/2006
Last updated
04/09/2021
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