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Humberto M Fagundes, MD
Diagnostic Radiology Physician in St Louis, Missouri
NPI 1033227806

Humberto M Fagundes is a Diagnostic Radiology Physician based in Saint Louis, MO and is specialized in Diagnostic Radiology. Humberto M Fagundes practices in St Louis, MO and has the professional credentials of MD. The NPI Number for Humberto M Fagundes is 1033227806 and holds a License No. 100121 (Missouri).

The current practice location address for Humberto M Fagundes is 3015 N New Ballas Rd, St Louis, MO and can be reached out via phone at 314-996-5180 and via fax at 314-821-2180.

Location: 3015 N New Ballas Rd, St Louis, MO, 63146-3109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033227806
Provider Name
Humberto M Fagundes
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3015 N New Ballas Rd, St Louis, MO, 63146-3109
Phone Number
314-996-5180
Fax Number
314-821-2180
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32286 01 BNDD
100121 01 MO LICENSE
33012444 01 CPIN
920004686 01 RRMEDICARE
207947516 01 MCAID
institution
Provider Business Practice Location Address Details
Address
3015 N New Ballas Rd
City
St Louis
State
Missouri
Zip
63131
Phone Number
314-996-5180
Fax Number
314-821-2180
person
Provider Business Mailing Address Details
Address
3015 N New Ballas Rd
City
St Louis
State
Missouri
Zip
63131
Phone Number
314-996-5180
Fax Number
314-821-2180
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
100121 (Missouri)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
100121 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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