Individual
DR. MALAZ SAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8790 WATSON RD, SUITE. 203, SAINT LOUIS, MO 63119-5140
(314) 543-2850
(314) 543-2851
Mailing address
PO BOX 31817, SAINT LOUIS, MO 63131-0817
(314) 543-2850
(314) 543-2851
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R9B71
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180007127
RAIL ROAD MEDICARE
IL
01
—
180007127
RAILROAD MEDICARE
MO
05
—
201857232
—
MO
01
—
321857203
MEDICAID OPTICAL
MO
Enumeration date
09/24/2007
Last updated
03/21/2014
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