MEDICARE: DR. MUHAMMAD JAMIL M.D.

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
1	207P00000X	Emergency Medicine Physician	036054272	IL
2	2083X0100X	Occupational Medicine Physician	R8039	MO
3	207P00000X	Emergency Medicine Physician	R8039	MO

General Provider Information

NPI Number	:	1295707081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUHAMMAD JAMIL M.D.

Provider Business Mailing Address
First Line	:	1001 S KIRKWOOD RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-7254
Country	:	US
Telephone Number	:	314-543-5970
Fax Number	:	314-822-2105

Provider Business Practice Location Address
First Line	:	1001 S KIRKWOOD RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-7254
Country	:	US
Telephone Number	:	314-543-5970
Fax Number	:	314-822-2105

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	11/06/2017

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Directions to “ DR. MUHAMMAD JAMIL M.D.” Practice Location

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