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NPI Code Detail

MEDICARE: ANMAAR M GAZAL MD

MEDICARE: ANMAAR M GAZAL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician2015008173MO

General Provider Information

NPI Number : 1235455866
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANMAAR M GAZAL MD
Provider Business Mailing Address
First Line : 1650 PRAIRIE CORD DR
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63005-4337
Country : US
Telephone Number : 314-525-1000
Fax Number :
Provider Business Practice Location Address
First Line : 10010 KENNERLY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63128-2106
Country : US
Telephone Number : 314-525-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2010
Last Update Date : 05/29/2026

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