Healthcare Provider Details

I. General information

NPI: 1437254968
Provider Name (Legal Business Name): SEEMA NAJAM, M.D, L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2870 NETHERTON DR
SAINT LOUIS MO
63136-4649
US

IV. Provider business mailing address

2870 NETHERTON DR
SAINT LOUIS MO
63136-4649
US

V. Phone/Fax

Practice location:
  • Phone: 314-878-0163
  • Fax: 314-878-4562
Mailing address:
  • Phone: 314-878-0163
  • Fax: 314-878-4562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number2001014939
License Number StateMO

VIII. Authorized Official

Name: DR. SEEMA NAJAM
Title or Position: PHYSICIAN AND SURGEON
Credential: M.D.
Phone: 314-878-0163