Individual
VLADIMIR MELYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 760-1020
Mailing address
12125 WOODCREST EXECUTIVE DR, SUITE 220, SAINT LOUIS, MO 63141-5001
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004030339
MO
208M00000X
Hospitalist Physician
Primary
2004030339
MO
208M00000X
Hospitalist Physician
D0061945
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208794305
—
MO
Enumeration date
02/09/2006
Last updated
09/04/2025
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