Organization
INFECTIOUS DISEASES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AAMINA AKHTAR MD (PRESIDENT)
(314) 821-0900
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD, 171B, SAINT LOUIS, MO 63128-2141
(314) 821-0900
(800) 556-8932
Mailing address
330 1ST CAPITOL DR, #260, SAINT CHARLES, MO 63301-2835
(314) 821-0900
(800) 556-8932
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
108767
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013458
MEDICARE GROUP PTAN
MO
Enumeration date
11/11/2011
Last updated
06/30/2016
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