Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARIK KAVAZOVIC
ActiveTARIK KAVAZOVIC is a 405300000X healthcare provider located in SAINT LOUIS, Missouri. NPI 1154853513 is currently active in the NPPES registry. Verify at CMS.
405300000X · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1154853513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2017 (9.3971841398598 yrs)
- Last Updated
- Apr 3, 2017
- License
-
2016037429 (MO)
Practice Information
- Address
-
5204 SIR BORS DR APT 3SAINT LOUIS, MO, 631291448Browse MO providers · Browse ZIP 63129
- Phone
- 3142037637
- Primary Specialty
-
405300000X
405300000X
Other 405300000X Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| JENNIFER RHODES | — | 1376075150 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.