Fagundes, Humberto M

Fagundes, Humberto M is an individual health care provider with primary practice located at 3015 N New Ballas Rd , St Louis MO 63131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Fagundes, Humberto M can be contacted via phone (314) 996-5180.

Contact Information

Primary practice address
3015 N New Ballas Rd St Louis MO 63131
Phone: (314) 996-5180
Fax: (314) 821-2180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 100121 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 100121 Missouri

Profile Details

NPI number 1033227806
LBN Legal business name Fagundes, Humberto M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033227806 NPPES
Other 32286 BNDD
Other 100121 BNDD
Other 33012444 BNDD
Other 920004686 BNDD
Other 207947516 BNDD

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