Individual
DR. MOHAMMED FASIHUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 884-1300
(573) 884-1010
Mailing address
3 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 884-1300
(573) 884-1010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
110582
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204697114
—
MO
Enumeration date
12/06/2006
Last updated
07/08/2007
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