Individual
DR. MEHRDAD SAEEDVAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6125 CLAYTON AVE STE 123, SAINT LOUIS, MO 63139-3266
(314) 644-3114
(314) 645-0829
Mailing address
6125 CLAYTON AVE, SUITE123, SAINT LOUIS, MO 63139-3265
(314) 644-3114
(314) 645-0829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3D13
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203726500
—
MO
Enumeration date
08/25/2006
Last updated
07/09/2007
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