DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALEXANDER K MAMMEN, M.D.

Active Sole Proprietor

DR. ALEXANDER K MAMMEN, M.D. is a Family Medicine healthcare provider located in SAINT LOUIS, Missouri. NPI 1609874734 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SAINT LOUIS, MO

Registration Details

NPI Number
1609874734
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2005 (20.908838248482 yrs)
Last Updated
Oct 16, 2017
License
36849 (MO)
Sole Proprietor
Yes

Practice Information

Address
4530 LEMAY FERRY RD
SUITE M
SAINT LOUIS, MO, 631291600
Browse MO providers · Browse ZIP 63129
Phone
3144878724
Fax
3144870443
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in SAINT LOUIS, MO

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.