Individual
MOHAMMED FAZAL MAJEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 FIRST CAPITOL DR., ST CHARLES, MO 63301
(636) 947-5444
(636) 947-5259
Mailing address
220 COMPASS POINT DR., ST CHARLES, MO 63301
(636) 947-4480
(636) 947-9860
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036102828
IL
2085R0202X
Diagnostic Radiology Physician
Primary
106982
MO
2085R0204X
Vascular & Interventional Radiology Physician
036102828
IL
2085R0204X
Vascular & Interventional Radiology Physician
106982
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102828
—
IL
05
—
205116908
—
MO
01
—
300112415
RAILROAD MEDICARE
MO
01
—
300112416
RAILROAD MEDICARE
MO
Enumeration date
07/24/2006
Last updated
11/10/2020
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