Individual
MOHAMAD DAVE DIMACHKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(866) 867-3627
Mailing address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023005756
MO
207RR0500X
Rheumatology Physician
Primary
2023005756
MO
Other
Enumeration date
06/05/2020
Last updated
07/08/2023
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