Asim Razzaq, MD
Urology in Saint Peters, MO. Individual provider (NPI-1).
NPI number1164531877
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1164531877
- Entity type
- Individual (NPI-1)
- Name
- Asim Razzaq
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 118587 | MO | Yes |
| 208800000X | Urology | 036094514 | IL |
Practice location
112 Piper Hill Dr Ste 12Saint Peters, MO 63376-1690
Phone 369-996-9202 · Fax 314-743-1338
Mailing address
12855 N 40 Dr Ste 375Saint Louis, MO 63141-8657
Phone 314-567-6071 · Fax 314-434-1277
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