Individual
NAFIS ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 271-6406
(816) 271-7986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11261
GA
207R00000X
Internal Medicine Physician
2022028525
MO
208M00000X
Hospitalist Physician
Primary
2022028525
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/02/2019
Last updated
10/09/2024
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