Individual
DR. JAVAD CHRISTOPHER VAZIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6486
Mailing address
625 S NEW BALLAS RD, SUITE 7020, SAINT LOUIS, MO 63141-8253
(314) 251-6486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10040005
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2014007000
MO
Other
Enumeration date
06/26/2011
Last updated
06/08/2016
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