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Individual

NASROLLAH HAKAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R4453
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102491
HEALTHLINK
MO
05
200527505
MO
01
2086908001
KANSAS MEDICAID
KS
01
6358
BLUE SHIELD/BLUE CHOICE
MO
01
7509120
UNITED HEALTHCARE
MO
Enumeration date
05/27/2006
Last updated
09/29/2008
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