Mohammad M Vakassi MD

NPI 1184602096 - Internal Medicine - 207RC0000X

NPI Details
NPI 1184602096
Gender Male
Enumeration Date 01/03/2006
Last Updated 03/20/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
4600 MEMORIAL DR
STE W-1
BELLEVILLE IL, 62226-5359, US
Phone (618) 233-3066
Fax (618) 233-3180
Business Location
4600 MEMORIAL DR
STE W1
BELLEVILLE IL, 62226-5368, US
Phone (618) 233-3066
Fax (618) 233-3180
Toxanomy
Taxonomy Code 207RC0000X
License State Illinois
License Number 036058818
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According to our database, Dr. Mohammad M Vakassi MD NPI is 1184602096, taxonomy code is 207RC0000X and license number is 036058818, license state is located at Illinois. Mohammad M Vakassi MD physically located at 4600 Memorial Dr, Belleville IL, 62226-5359. NPI Number Mohammad M Vakassi MD has the Individual type.

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1184602096 NPI number is provided on an as is basis without warranty of any kind. 1184602096 is maintained by the National Plan & Provider Enumeration System. The contents of Mohammad M Vakassi MD are for informational purposes only.