Individual
DR. SATHEAVY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 PATIENTS FIRST DR, DEPT OF RADIOLOGY, WASHINGTON, MO 63090-4700
(636) 390-1575
(636) 390-9710
Mailing address
11475 OLDE CABIN RD, SUITE 200, SAINT LOUIS, MO 63141-7128
(314) 991-8200
(314) 569-1787
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036128244
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2010007591
MO
2085R0202X
Diagnostic Radiology Physician
E8090
AR
2085R0202X
Diagnostic Radiology Physician
MD201166
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215148952
—
MO
Enumeration date
05/24/2007
Last updated
05/25/2016
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