Individual
DR. ABDUL NAEEM NAUSHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2865 JAMES BLVD, POPLAR BLUFF, MO 63901-2803
(573) 776-1100
(573) 776-1107
Mailing address
622 COLLINS DR, STE 200, FESTUS, MO 63028-2077
(636) 638-1506
(636) 638-1507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2002024819
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2002024819
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002259957
UHC
MO
05
—
158238001
—
AR
01
—
176806
BLUE CROSS BLUE SHIELD
MO
05
—
1972596757
—
MO
01
—
305205
GHP
MO
01
—
567896
HEALTHLINK PPO
MO
01
—
7475459
AETNA
MO
01
—
794101
HEALTHLINK HMO
MO
01
—
P00094934
MCRR
MO
Enumeration date
08/26/2005
Last updated
03/08/2017
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