Individual
DR. RIFFAT Y. IMDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 LEMAY FERRY RD, STE 104, SAINT LOUIS, MO 63125-3900
(314) 525-1887
(314) 525-1868
Mailing address
2900 LEMAY FERRY RD, STE 104, SAINT LOUIS, MO 63125-3900
(314) 525-1887
(314) 525-1868
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2000160629
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205326508
—
MO
Enumeration date
09/19/2005
Last updated
03/14/2017
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