Individual
DR. MOHAMMAD ASIF WAZIRI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2305 GERORGIA ST, LOUISIANA, MO 63353
(573) 754-5531
Mailing address
147 GEMINI DR, HANNIBAL, MO 63401-2389
(573) 248-8639
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2001010816
MO
207R00000X
Internal Medicine Physician
2001010816
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001010816
MISSOURI STATE LICENSE
MO
Enumeration date
12/22/2005
Last updated
09/11/2025
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