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1427463074

NPI Code Detail

MEDICARE: DR. MAANASI SAMANT MD

MEDICARE: DR. MAANASI SAMANT 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
1	207R00000X	Internal Medicine Physician	2018007773	MO
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	2018007773	MO
3	207RP1001X	Pulmonary Disease Physician	2018007773	MO
4	207RP1001X	Pulmonary Disease Physician	036157776	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427463074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAANASI SAMANT MD

Provider Business Mailing Address
First Line	:	PO BOX 60352
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63160-0352
Country	:	US
Telephone Number	:	314-454-8917
Fax Number	:	314-747-2200

Provider Business Practice Location Address
First Line	:	676 N SAINT CLAIR ST STE 2100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2993
Country	:	US
Telephone Number	:	312-695-1800
Fax Number	:	312-695-4741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2014
Last Update Date	:	09/09/2024

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Directions to “ DR. MAANASI SAMANT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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