Individual
MUHAMMAD AZHARUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1012
Mailing address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1012
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2001017143
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459408
—
AZ
01
—
P00888848
RAILROAD MEDICARE
AZ
Enumeration date
09/21/2006
Last updated
05/22/2025
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