Healthcare Provider Details

I. General information

NPI: 1124438064
Provider Name (Legal Business Name): ROBI NICOLAS MAAMARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2014
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 S EUCLID AVE DEPT OPTHALMOLOGY, 1ST FL
SAINT LOUIS MO
63110-1007
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-3431
  • Fax: 314-362-6564
Mailing address:
  • Phone: 314-362-3431
  • Fax: 314-362-6564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number2018015077
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: