Dr. Grace Marie Tabatabai, MD
Psychiatry & Neurology, Neurology in Saint Louis, MO. Individual provider (NPI-1).
NPI number1164074704
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1164074704
- Entity type
- Individual (NPI-1)
- Name
- Dr. Grace Marie Tabatabai
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2019
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 2024011976 | MO | Yes |
Practice location
660 S Euclid AveSaint Louis, MO 63110-1010
Phone 314-454-6006 · Fax 314-454-4102
Mailing address
1 Childrens Pl # 3s34Saint Louis, MO 63110-1002
Phone 314-454-6006 · Fax 314-454-4102
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