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Individual

ROHAN JALALIZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3660 VISTA AVE, SAINT LOUIS, MO 63110-2540
(314) 977-6100
Mailing address
2201 S BRENTWOOD BLVD STE 800, SAINT LOUIS, MO 63144-1815

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2020010836
MO
390200000X
Student in an Organized Health Care Education/Training Program
MO

Other

Enumeration date
04/20/2016
Last updated
06/29/2020
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