Individual
SANAM VAKASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5648
(314) 653-5643
Mailing address
11133 DUNN RD STE 2427, SAINT LOUIS, MO 63136-6163
(314) 653-5648
(314) 653-5643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017008743
MO
208M00000X
Hospitalist Physician
Primary
2017008743
MO
Other
Enumeration date
06/08/2015
Last updated
09/17/2021
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