Individual
DR. MOHAMMAD MITHAL VAKASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6406 WISE AVE, SAINT LOUIS, MO 63139-3315
(618) 346-1111
(618) 346-7777
Mailing address
6406 WISE AVE, SAINT LOUIS, MO 63139-3315
(618) 346-1111
(618) 346-7777
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036058818
IL
207RC0000X
Cardiovascular Disease Physician
Primary
35561
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184602096
—
IL
Enumeration date
01/03/2006
Last updated
11/18/2024
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