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Individual

BAZGHA AHMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5772
(314) 996-7691
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 996-5772
(314) 996-7691

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A11960
CA
208M00000X
Hospitalist Physician
Primary
2013032974
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/26/2010
Last updated
01/29/2021
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