RAJA GHULAM DASTGIR HUSSAIN

CAPE GIRARDEAU, MO
NPI1699286799
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2017033514)
Enumeration Date2017-10-16
Last Update Date2018-09-05
Business Address
Mr. RAJA GHULAM DASTGIR HUSSAIN Physician Assistant
1417 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Phone number: 573-803-2941
Mailing Address
Mr. RAJA GHULAM DASTGIR HUSSAIN Physician Assistant
9823 LANE AVE
KANSAS CITY, MO 64134-2257
Phone number: 816-535-0505
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