Individual
CARA HAHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15945 CLAYTON RD, SUITE 120, BALLWIN, MO 63011-2490
(636) 256-5000
(636) 256-5100
Mailing address
15945 CLAYTON RD, SUITE 120, BALLWIN, MO 63011-2490
(636) 256-5000
(636) 256-5100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01057613A
IN
208600000X
Surgery Physician
Primary
112784
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427031129
—
MO
01
—
P00943562
RAILROAD MEDICARE
MO
Enumeration date
11/28/2005
Last updated
03/02/2015
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