Individual
MEHDI MOHAMMADIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1076
(443) 799-3679
Mailing address
50 W PORT PLZ APT 419, SAINT LOUIS, MO 63146-3154
(443) 799-3679
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2025012221
MO
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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