Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2006009294 | MO |
N | 111NI0900X | Internist | 2006009294 | MO |
Y | 207RR0500X | Rheumatology | 2006009294 | MO |
N | 2080P0216X | Pediatric Rheumatologist | 2006009294 | MO |
NPI | 1588872758 |
---|---|
Provider Name | Dr. Reema Hameed Syed |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63141-6287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2007 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
207518002 | (05) | MO |