Mudarres, Mohamed Fawzi

Mudarres, Mohamed Fawzi is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mudarres, Mohamed Fawzi can be contacted via phone (314) 251-6000.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141-8221
Phone: (314) 251-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X R-12809 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2025020148 Missouri

Profile Details

NPI number 1871373944
LBN Legal business name Mudarres, Mohamed Fawzi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2023
Last updated Jun 17th, 2025 - about last year

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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