Provider Demographics
NPI:1497097083
Name:ABBASI, MOHAMMED MUNAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:MUNAM
Last Name:ABBASI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8052
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-454-8917
Mailing Address - Fax:314-747-2200
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:STE 8B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-454-8917
Practice Address - Fax:314-747-2200
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2019-07-02
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Provider Licenses
StateLicense IDTaxonomies
MO2019010043207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine