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Individual

LAEEQ AZMAT TAHIRKHELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
214 N MAIN ST, PLATTSBURG, MO 64477-1238
(816) 930-2041
(816) 539-2866
Mailing address
CAMERON REGIONAL MEDICAL CENTER, INC., 1600 E EVERGREEN, CAMERON, MO 64429
(816) 632-2101
(816) 649-3383

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004019669
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2004019669
CERTIFICATE/LICENSE NUMBE
MO
05
243332046
MO
01
785D501
MEDICARE PART B
MO
01
P00182717
MEDICARE RAILROAD
MO
Enumeration date
12/06/2005
Last updated
08/10/2013
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