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NPI Code Detail

MEDICARE: ARYA W NAMIN MD

MEDICARE: ARYA W NAMIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician2023020915MO

General Provider Information

NPI Number : 1023419405
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARYA W NAMIN MD
Provider Business Mailing Address
First Line : 607 S NEW BALLAS RD STE 2300
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8234
Country : US
Telephone Number : 314-251-6394
Fax Number : 314-251-4235
Provider Business Practice Location Address
First Line : 607 S NEW BALLAS RD STE 2300
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8234
Country : US
Telephone Number : 314-251-6394
Fax Number : 314-251-4235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2014
Last Update Date : 06/20/2023

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Directions to “ ARYA W NAMIN MD” Practice Location

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