Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 2000167863 | MO |
NPI | 1053388942 |
---|---|
Provider Name | Umar Daud |
First Address | Saint Louis, MO 63117-1850 |
Second Address | Saint Louis, MO 63117-1850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 30/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H60401 | (02) | AR |