Individual
DR. ALBERT K NAKANISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5360
(314) 268-4116
Mailing address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R8F00
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
R8F00
MO
Other
Enumeration date
10/12/2006
Last updated
03/18/2008
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