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General NPI Number Information
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NPI Number | 1427463074
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Entity Type | Individual
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Provider Name | MAANASI SAMANT MD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 676 N SAINT CLAIR ST STE 2100
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City | CHICAGO
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State | IL
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Zip | 60611-2993
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Country | US
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Telephone | 312-695-1800
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Fax | 312-695-4741
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Provider Business Mailing Address
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Address Line | PO BOX 60352
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City | SAINT LOUIS
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State | MO
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Zip | 63160-0352
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Country | US
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Telephone | 314-454-8917
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Fax | 314-747-2200
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2018007773
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 2018007773
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2018007773
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036157776
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License Number State | IL
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