Individual
SINA SAFAMANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 N PROVIDENCE RD, COLUMBIA, MO 65203-4355
(573) 234-1070
(573) 818-1342
Mailing address
619 N PROVIDENCE RD, COLUMBIA, MO 65203-4355
(573) 234-1070
(573) 818-1342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024018846
MO
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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