Healthcare Provider Details

I. General information

NPI: 1063602639
Provider Name (Legal Business Name): SEEMA NAJAM MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11125 DUNN RD SUITE 411
SAINT LOUIS MO
63136-6132
US

IV. Provider business mailing address

11125 DUNN RD SUITE 411
SAINT LOUIS MO
63136-6132
US

V. Phone/Fax

Practice location:
  • Phone: 314-355-2700
  • Fax: 314-955-2720
Mailing address:
  • Phone: 314-355-2700
  • Fax: 314-955-2720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: AMY L ELLIOTT
Title or Position: ACCOUNT MANAGER
Credential:
Phone: 314-878-0163