Individual provider · NPI-1

Dr. Farrokh Dehdashti, MD

Nuclear Medicine · Saint Louis, MO

NPI number1063506392
StatusActive
Last updated in NPPESApr 17, 2025

Details

NPI
1063506392
Entity type
Individual (NPI-1)
Name
Dr. Farrokh Dehdashti
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
Apr 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207U00000X Nuclear MedicineR9H91MOYes
2085R0202X Radiology, Diagnostic RadiologyR9H91MO

Practice location

510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016

Phone 314-362-7200 · Fax 314-747-4189

Mailing address

Po Box 7412011
Chicago, IL 60674-2011

Phone 314-362-7200 · Fax 314-747-4189

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