Imam, Syed K

Imam, Syed K is an individual health care provider with primary practice located at 340 Kelley Pkwy , Mexico MO 65265-3811. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Imam, Syed K can be contacted via phone (573) 582-1234.

Contact Information

Primary practice address
340 Kelley Pkwy Mexico MO 65265-3811
Phone: (573) 582-1234
Fax: (573) 582-1212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2001021520 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2001021520 Missouri

Profile Details

NPI number 1366428286
LBN Legal business name Imam, Syed K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366428286 NPPES
Missouri MEDICAID 1366428286

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