Tazbaz, Dani
Tazbaz, Dani is an individual health care provider with primary practice located at 1035 Bellevue Ave Ste 500 , Saint Louis MO 63117-1843. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Tazbaz, Dani can be contacted via phone (314) 925-4744.Contact Information
Primary practice address
1035 Bellevue Ave Ste 500
Saint Louis MO 63117-1843
Phone: (314) 925-4744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036111031 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036111031 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036111031 | Illinois |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 036111031 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2014039581 | Missouri |
Profile Details
| NPI number | 1356464200 |
|---|---|
| LBN Legal business name | Tazbaz, Dani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2007 |
| Last updated | Nov 12th, 2020 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356464200 | NPPES |
| Illinois | Other | CF3444 | MEDICARE RAILROAD GROUP |
| Illinois | MEDICAID | 036111031 | MEDICARE RAILROAD GROUP |
| Illinois | Other | 207219 | MEDICARE RAILROAD GROUP |
| Illinois | Other | P00421916 | MEDICARE RAILROAD GROUP |
| Illinois | MEDICAID | 370966854011 | MEDICARE RAILROAD GROUP |
| Illinois | MEDICAID | 370966854016 | MEDICARE RAILROAD GROUP |
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