Individual
DR. MAANASI SAMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 2100, CHICAGO, IL 60611-2993
(312) 695-1800
(312) 695-4741
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 454-8917
(314) 747-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018007773
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2018007773
MO
207RP1001X
Pulmonary Disease Physician
Primary
036157776
IL
207RP1001X
Pulmonary Disease Physician
2018007773
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084471
—
MO
Enumeration date
06/23/2014
Last updated
09/09/2024
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