Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 036.118603 | IL |
N | 207U00000X | Nuclear Medicine Specialist | 4301085387 | MI |
Y | 208D00000X | General Practice Physician | 036.118603 | IL |
NPI | 1477692267 |
---|---|
Provider Name | Dr. Naghma Afzal Sayyed |
First Address | Poplar Bluff, MO 63901-3318 |
Second Address | Farmington, MO 63640-3512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 02/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R01015 | (02) | IL |