Irakli Shengelia PA

NPI 1033382072 - Physician Assistant - 363AM0700X

NPI Details
NPI 1033382072
Gender Male
Enumeration Date 04/10/2008
Last Updated 10/22/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS MO, 63110-1003, US
Phone (314) 362-6973
Fax (314) 362-1185
Business Location
660 S EUCLID AVE
C B 8054
SAINT LOUIS MO, 63110-1010, US
Phone (314) 362-6973
Fax (314) 362-1185
Toxanomy
Taxonomy Code 363AM0700X
License State Missouri
License Number 2008005284
Remove 1033382072 NPI Number
 

According to our database, Dr. Irakli Shengelia PA NPI is 1033382072, taxonomy code is 363AM0700X and license number is 2008005284, license state is located at Missouri. Irakli Shengelia PA physically located at 1 Barnes Jewish Hospital Plz, Saint Louis MO, 63110-1003. NPI Number Irakli Shengelia PA has the Individual type.

Sponsored links

1033382072 NPI number is provided on an as is basis without warranty of any kind. 1033382072 is maintained by the National Plan & Provider Enumeration System. The contents of Irakli Shengelia PA are for informational purposes only.