Individual
HANY BOTROS TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(865) 985-7253
Mailing address
548 OAK CREEK MEADOWS CT, CHESTERFIELD, MO 63017-2110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036119032
IL
207L00000X
Anesthesiology Physician
Primary
MD114623
MO
207L00000X
Anesthesiology Physician
ME110459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203133
BCBS GROUP
MO
05
—
203759303
—
MO
Enumeration date
05/31/2006
Last updated
02/19/2025
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