Individual
ANAHIT DANIELYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2315 DOUGHERTY FERRY RD STE 109A, SAINT LOUIS, MO 63122-3383
(314) 729-1725
(314) 729-1732
Mailing address
8790 WATSON RD, SUITE 103, SAINT LOUIS, MO 63119-5140
(314) 729-1725
(314) 729-1732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200416573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00718906
RR MEDICARE
MO
Enumeration date
07/01/2006
Last updated
08/03/2020
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