person
Samer Thanavaro, MD
Cardiovascular Disease Physician in Saint Louis, Missouri
NPI 1619960606

Samer Thanavaro is a Cardiovascular Disease Physician based in Saint Louis, MO and is specialized in Cardiovascular Disease. Samer Thanavaro practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Samer Thanavaro is 1619960606 and holds a License No. 036072313 (Missouri).

The current practice location address for Samer Thanavaro is 11125 Dunn Rd, Saint Louis, MO and can be reached out via phone at 314-839-5522 and via fax at 314-839-5351.

Location: 11125 Dunn Rd, Saint Louis, MO, 63136-6132
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Provider Profile Details
NPI Number
1619960606
Provider Name
Samer Thanavaro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11125 Dunn Rd, Saint Louis, MO, 63136-6132
Phone Number
314-839-5522
Fax Number
314-839-5351
Provider Enumeration Date
08/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060067960 01 IL ILRRMCR
110099256 01 MO MORRMCR
431098908 01 TRICARE
2500083 01 UHC
A13504 01 MERCY
2333V3831 01 GHP/CMR
000000012939 01 ESSENCE
7268V8816 01 HCUSA
200998417 05 MO
119171 01 HLNK
1259965 01 CIGNA
43336V30946 01 HLTHPART
4037808 01 AETNA
institution
Provider Business Practice Location Address Details
Address
11125 Dunn Rd
City
State
Zip
63136-6132
Phone Number
314-839-5522
Fax Number
314-839-5351
person
Provider Business Mailing Address Details
Address
11125 Dunn Rd
City
State
Zip
63136-6132
Phone Number
314-839-5522
Fax Number
314-839-5351
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
036072313 (Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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