Organization
SOUTH COUNTY INTERNAL MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAHIR QAYUM M.D (PRESIDENT)
(314) 892-3380
Entity
Organization
Contact information
Practice address
2900 LEMAY FERRY RD, SUITE 226, SAINT LOUIS, MO 63125-3900
(314) 892-3380
Mailing address
2900 LEMAY FERRY RD, SUITE 226, SAINT LOUIS, MO 63125-3900
(314) 892-3380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
106241
MO
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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