Individual
MIRNA ASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
821 WESTWOOD DR, SEDALIA, MO 65301
(660) 826-4774
(888) 979-8868
Mailing address
821 WESTWOOD DR, SEDALIA, MO 65301
(660) 826-4774
(888) 979-8868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021030385
MO
390200000X
Student in an Organized Health Care Education/Training Program
PENDING
KS
Other
Enumeration date
06/13/2018
Last updated
08/09/2023
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