Individual
DR. MUHAMMAD MUDASSAR AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 WEST AUBERRY GROVE, JAMESPORT, MO 64648
(660) 684-6252
(660) 684-6254
Mailing address
1600 E EVERGREEN, CAMERON, MO 64429-0557
(816) 632-2101
(816) 649-3383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008029327
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
785000002
MEDICARE PART B
MO
Enumeration date
06/29/2006
Last updated
02/04/2010
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