Avidan, Michael Simon

Avidan, Michael Simon is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Dept Anesthesiology, Saint Louis MO 63110-1003. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Avidan, Michael Simon can be contacted via phone (800) 862-9980.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Dept Anesthesiology Saint Louis MO 63110-1003
Phone: (800) 862-9980
Fax: (314) 362-1185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2007034007 Missouri
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2007034007 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 2007034007 Missouri

Profile Details

NPI number 1053338582
LBN Legal business name Avidan, Michael Simon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053338582 NPPES
Missouri MEDICAID 205242217

Popular Providers