Individual
DR. SYED ALI RAZA GILLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR # CE514, COLUMBIA, MO 65212-2726
(347) 659-5430
Mailing address
6560 FANNIN ST STE 802, HOUSTON, TX 77030-2726
(713) 363-9589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125073826
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.073826
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2023010810
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2019
Last updated
06/09/2023
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