Healthcare Provider Details

I. General information

NPI: 1215864251
Provider Name (Legal Business Name): ASLANBI TEZEKBAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 CLAYTON ROAD DEPARTMENT OF INTERNAL MEDICINE, SSM HEALTH ST. MARY'S
ST LOUIS MO
63117
US

IV. Provider business mailing address

6420 CLAYTON ROAD DEPARTMENT OF INTERNAL MEDICINE, SSM HEALTH ST. MARY'S
ST LOUIS MO
63117
US

V. Phone/Fax

Practice location:
  • Phone: 314-768-8778
  • Fax: 314-768-7101
Mailing address:
  • Phone: 314-768-8778
  • Fax: 314-768-7101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: