Samer Thanavaro in Saint Louis - Cardiovascular Disease
Samer Thanavaro - NPI 1619960606
Samer Thanavaro is a Cardiovascular Disease in Saint Louis, Missouri. Samer Thanavaro practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Samer Thanavaro is 1619960606. The last update date is 2021-12-02.
Samer Thanavaro's current location address is 11125 Dunn Rd, Saint Louis, Missouri. You can contact this provider via phone number 3148395522 and fax number 3148395351. The mailing address for Samer Thanavaro is 11125 Dunn Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samer Thanavaro |
|---|---|
| Address | 11125 Dunn Rd, Saint Louis, Missouri |
| Phone Number | 3148395522 |
| Fax Number | 3148395351 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619960606 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2021-12-02 |
Provider Mailing Address Detail
| Address | 11125 Dunn Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631366132 |
| Phone Number | 3148395522 |
| Fax Number | 3148395351 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 36072313 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60067960 | IL | ILRRMCR | |
| 110099256 | MO | MORRMCR | |
| 431098908 | TRICARE | ||
| 2500083 | UHC | ||
| A13504 | MERCY | ||
| 2333V3831 | GHP/CMR | ||
| 12939 | ESSENCE | ||
| 7268V8816 | HCUSA | ||
| 200998417 | MO | -- | |
| 119171 | HLNK |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Samer Thanavaro by the Centers for Medicare & Medicaid Services?
The Samer Thanavaro has been issued the NPI (National Provider Identifier) 1619960606, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Samer Thanavaro is physically located?
The Samer Thanavaro is situated at the following address: 11125 Dunn Rd, Saint Louis, MO 631366132.
What is Samer Thanavaro's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Samer Thanavaro's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619960606 to Samer Thanavaro?
The Centers for Medicare & Medicaid Services originally issued the 1619960606 to Samer Thanavaro on 2005-08-25.
As of what date were the Samer Thanavaro's details last updated?
The information pertaining to the Samer Thanavaro, including its address, specialty, and other details, was most recently updated on 2021-12-02.