# M ELIZABETH MANI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316287881
- **Authorized official:** M ELIZABETH MANI M.D, (PRESIDENT)
- **Authorized official phone:** (314) 567-9199

## Contact information

- **Practice address:** 3009 N BALLAS RD, SUITE 250C, SAINT LOUIS, MO 63131-2322
- **Practice address phone:** (314) 567-9199
- **Practice address fax:** (314) 432-1524
- **Mailing address:** 3009 N BALLAS RD, SUITE 250C, SAINT LOUIS, MO 63131-2322
- **Mailing address phone:** (314) 567-9199
- **Mailing address fax:** (314) 432-1524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MO100226 | MO | Yes |

## Other

- **Enumeration date:** 02/21/2013
- **Last updated:** 02/21/2013