Individual
ALI ZIAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 DUNN RD, SUITE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Mailing address
11125 DUNN RD, SUITE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-113041
IL
207RI0011X
Interventional Cardiology Physician
Primary
110457
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021303
FMH
—
01
—
126694
BC/BS
MO
05
—
204891014
—
MO
01
—
431098908
AETNA
—
01
—
452274
HEALTHLINK
—
01
—
H14925
MERCY
—
01
—
P00319257
MORRMCR
MO
01
—
P00341378
ILRRMCR
IL
Enumeration date
04/19/2006
Last updated
12/09/2021
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