Individual
EDINA KARAHODZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12348 OLD TESSON RD STE 240, SAINT LOUIS, MO 63128-2251
(314) 467-3900
(314) 467-3919
Mailing address
3915 WATSON RD STE 203, SAINT LOUIS, MO 63109
(314) 644-4410
(314) 646-0054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003012646
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209075308
—
MO
01
—
P00170065
RAILROAD MEDICARE
—
Enumeration date
09/25/2006
Last updated
12/07/2023
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