Individual
ADEEL PERVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 NW MOCK AVE STE 200, BLUE SPRINGS, MO 64014-2530
(816) 416-8633
(816) 416-8644
Mailing address
206 NW MOCK AVE STE 200, BLUE SPRINGS, MO 64014-2530
(816) 416-8635
(816) 416-8651
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2013029752
MO
207RP1001X
Pulmonary Disease Physician
Primary
2013029752
MO
207RP1001X
Pulmonary Disease Physician
MD425350
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2013029752
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2695847
BLUE SHIELD
PA
Enumeration date
05/26/2006
Last updated
02/16/2022
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