Individual
TAKAAKI ISHIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 317-0600
(314) 317-0606
Mailing address
SLU CARE ACADEMIC PAVILION, 1008 SOUTH SPRING, SAINT LOUIS, MO 63110-2520
(314) 257-8222
(314) 577-8019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008022989
MO
208M00000X
Hospitalist Physician
Primary
2008022989
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386865822
—
MO
Enumeration date
05/01/2007
Last updated
02/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us