Individual
NASROLLAH HAKAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 882-3961
(573) 884-4277
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
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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