Individual
DR. AMIR JAVAD MOMTAHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(314) 653-4300
(314) 653-4163
Mailing address
11133 DUNN RD, SAINT LOUIS, MO 63136-6119
(314) 653-4300
(314) 653-4163
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2012003473
MO
Other
Enumeration date
05/29/2008
Last updated
04/09/2013
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