Individual
HASEENA MAZHAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 VETERANS MEMORIAL PKWY STE 300, SAINT CHARLES, MO 63303-2106
(636) 669-2350
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020004473
MO
390200000X
Student in an Organized Health Care Education/Training Program
MTL001477
DC
Other
Enumeration date
05/31/2013
Last updated
11/10/2020
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