Individual provider · NPI-1

Reza Aghaei

Internal Medicine · Columbia, MO

NPI number1144944612
StatusActive
Last updated in NPPESSep 28, 2022

Details

NPI
1144944612
Entity type
Individual (NPI-1)
Name
Reza Aghaei
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 28, 2022
Certification date
Sep 28, 2022
Last updated
Sep 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2022037061MOYes

Practice location

619 N Providence Rd
Columbia, MO 65203-4355

Phone 573-234-1070

Mailing address

223 N 9th St
Columbia, MO 65201-4843

Phone 949-563-4255

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