Individual
DR. SAM B BHAYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 FOREST PARK AVE, DIV SURG UROLOGY, 5TH FL, SAINT LOUIS, MO 63108-2114
(314) 362-8200
(888) 425-8245
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-8200
(888) 425-8245
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
110662
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208422204
—
MO
Enumeration date
07/14/2006
Last updated
04/15/2025
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