NIYAZA MAMMOOTTY

SAINT LOUIS, MO
NPI1548156516
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  2025021888)
Enumeration Date2025-06-16
Last Update Date2025-06-16
Business Address
NIYAZA MAMMOOTTY MD
4590 NASH WAY
SAINT LOUIS, MO 63110-1020
Phone number: 314-747-3000
Mailing Address
NIYAZA MAMMOOTTY MD
4590 NASH WAY MAILSTOP: 90-29-928
SAINT LOUIS, MO 63110-1020
Phone number: 314-747-3000
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