Individual
ANNUM FAISAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 S FREMONT AVE, SPRINGFIELD, MO 65804-2206
(417) 820-8099
Mailing address
2055 S FREMONT AVE, SPRINGFIELD, MO 65804-2206
(417) 820-8099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021043471
MO
207R00000X
Internal Medicine Physician
5315077820
MI
207RH0003X
Hematology & Oncology Physician
249798
NC
Other
Enumeration date
07/11/2016
Last updated
07/22/2022
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