Individual
GEORGE MEKHJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 HOSPITAL DR, SAINT PETERS, MO 63376-1659
(636) 916-9000
(314) 317-0606
Mailing address
12125 WOODCREST EXECUTIVE DR, SUITE 220, SAINT LOUIS, MO 63141-5001
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006024364
MO
207R00000X
Internal Medicine Physician
2006024364
MO
208M00000X
Hospitalist Physician
2006024364
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115694
—
IL
05
—
1407802812
—
MO
Enumeration date
05/26/2006
Last updated
01/23/2020
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