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Individual

DR. MALIK I AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6663
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6663

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
105585
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209795152
MO
01
P01147632
RAILROAD MEDICARE
MO
Enumeration date
02/14/2006
Last updated
04/06/2025
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