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NPI Code Detail

MEDICARE: RYAN ANDREW DEUTSCH MD

MEDICARE: RYAN ANDREW DEUTSCH 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
1208M00000XHospitalist Physician2026015895MO
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1972205367
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN ANDREW DEUTSCH MD
Provider Business Mailing Address
First Line : PO BOX 959354
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63195-9354
Country : US
Telephone Number : 314-996-5772
Fax Number : 314-996-7691
Provider Business Practice Location Address
First Line : 3015 N BALLAS RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2329
Country : US
Telephone Number : 314-996-5772
Fax Number : 314-996-7691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2023
Last Update Date : 06/04/2026

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