Organization Active NPI

Abdul Khaliq Muhammud MD LLC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1245401702
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2004022181 Issued in MO
Legal business name
ABDUL KHALIQ MUHAMMUD MD LLC
Practice address
2870 Netherton Dr
Saint Louis, MO 63136-4649
Phone
(314) 355-2700
Fax
(314) 355-2720
NPI assigned
Mar 12, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Abdul Khaliq Muhammud, MD
Title
Manager
Phone
(314) 355-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 2004022181 MO Primary

Addresses

Primary practice location

2870 Netherton Dr
Saint Louis, MO 63136-4649

Mailing address

2870 Netherton Dr
Saint Louis, MO 63136-4649
Phone (314) 355-2700

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1245401702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 NETHERTON DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364649",
            "telephone_number": "314-355-2700",
            "fax_number": "314-355-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 NETHERTON DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364649",
            "telephone_number": "314-355-2700",
            "fax_number": "314-355-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL KHALIQ MUHAMMUD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "MUHAMMUD",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "KHALIQ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-355-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004022181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.