Organization
INFECTIOUS DISEASES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AAMINA B AKHTAR MD (PRESIDENT)
(314) 821-0900
Entity
Organization
Contact information
Practice address
10004 KENNERLY ROAD, #171B, ST. LOUIS, MO 63128
(314) 821-0900
(800) 556-8932
Mailing address
10004 KENNERLY ROAD, #171B, ST. LOUIS, MO 63128
(314) 821-0900
(800) 556-8932
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506049501
—
MO
Enumeration date
03/01/2006
Last updated
08/11/2016
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