MEDICARE: DR. AQSA I AHMAD-MAJEED DDS

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	122300000X	Dentist	2004034574	MO

General Provider Information

NPI Number	:	1902056724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AQSA I AHMAD-MAJEED DDS

Provider Business Mailing Address
First Line	:	215 CHASSELLE LN
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-7332
Country	:	US
Telephone Number	:	314-439-9881
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 CHASSELLE LN
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-7332
Country	:	US
Telephone Number	:	314-439-9881
Fax Number	:

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

Provider Enumeration Date	:	09/29/2008
Last Update Date	:	09/29/2008

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Directions to “ DR. AQSA I AHMAD-MAJEED DDS” Practice Location

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