Individual
MAHMUDA NASRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(816) 509-6694
Mailing address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(816) 509-6694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022010189
MO
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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