Mehdirad, Ali Akbar

Mehdirad, Ali Akbar is an individual health care provider with primary practice located at 777 S New Ballas Rd Suite 300E, Saint Louis MO 63141-8705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Mehdirad, Ali Akbar can be contacted via phone (314) 432-7839.

Contact Information

Primary practice address
777 S New Ballas Rd Suite 300E Saint Louis MO 63141-8705
Phone: (314) 432-7839
Fax: (314) 432-4839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X R5G76 Missouri

Profile Details

NPI number 1093770257
LBN Legal business name Mehdirad, Ali Akbar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 13th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093770257 NPPES
Missouri Other 431908828 TAX ID#
Missouri Other CH4229 TAX ID#
Missouri MEDICAID 505207209 TAX ID#

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