Individual
DR. MAHBUBUL B PATWARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12266 DE PAUL DR STE 315, BRIDGETON, MO 63044-2514
(314) 739-5858
Mailing address
220 COMPASS POINT DRIVE, ST CHARLES, MO 63301
(636) 947-4480
(636) 947-9860
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2017014909
MO
2085R0204X
Vascular & Interventional Radiology Physician
2017014909
MO
Other
Enumeration date
07/16/2011
Last updated
11/10/2020
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