Individual
JAMSHED GUL AGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 KISKER RD, SUITE 180, SAINT CHARLES, MO 63304-8781
(636) 442-7300
(636) 442-7319
Mailing address
500 MEDICAL DRIVE, WENTZVILLE, MO 63385
(636) 327-1202
(636) 327-1222
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2002016138
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1360100
UHC
—
01
—
143463
GHP
—
01
—
173279
BCBS
MO
05
—
205972300
—
MO
01
—
5469243
AETNA
—
01
—
633997
HEALTHLINK
—
01
—
900004419
RR MEDICARE
—
Enumeration date
04/06/2006
Last updated
09/10/2012
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