Dr Deena Basima Chihade, MD | |
1300 Hrc Plaza Dr, Lake St Louis, MO 63367-1869 | |
(314) 755-1084 | |
Not Available |
Full Name | Dr Deena Basima Chihade |
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Gender | Female |
Speciality | Surgery - Vascular Surgery |
Location | 1300 Hrc Plaza Dr, Lake St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104113802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2024041400 (Missouri) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 2024041400 (Missouri) | Primary |
Entity Name | St Louis Vascular Surgical Specialists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477246312 PECOS PAC ID: 9739548991 Enrollment ID: O20230706000690 |
Mailing Address | Practice Location Address |
---|---|
Dr Deena Basima Chihade, MD 9 N Bemiston Ave Apt 221, Clayton, MO 63105-3430 Ph: (314) 755-1084 | Dr Deena Basima Chihade, MD 1300 Hrc Plaza Dr, Lake St Louis, MO 63367-1869 Ph: (314) 755-1084 |
Charles Robert Hartman Jr., DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 310, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Dr. Thomas Mark Leibold, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 310, Lake St Louis, MO 63367 Phone: 636-625-2662 Fax: 636-625-6623 | |
Dr. David A. Nickel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Plz Ste 310, Lake St Louis, MO 63367 Phone: 636-625-2662 | |
Dr. Robert Hacker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 Hrc Plaza Dr, Lake St Louis, MO 63367 Phone: 314-755-1084 | |
Dr. Andrea Behr, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Medical Plz Ste 10, Lake St Louis, MO 63367 Phone: 636-625-6052 Fax: 636-625-6053 |