Individual
NASHMIA RIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1115 ALASKA ST STE 111, WEST PLAINS, MO 65775-2000
(417) 505-7114
(417) 505-7814
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 256-9111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301105318
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2019043901
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
BP10059064
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
TRN28685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200086355
—
MO
01
—
2019043901
STATE LICENSE
MO
Enumeration date
07/10/2014
Last updated
09/30/2020
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