Dr Farrokh Dehdashti, MD | |
510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110-1016 | |
(314) 362-7200 | |
(314) 747-4189 |
Full Name | Dr Farrokh Dehdashti |
---|---|
Gender | Female |
Speciality | Nuclear Medicine |
Experience | 47 Years |
Location | 510 S Kingshighway Blvd, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063506392 | NPI | - | NPPES |
209724707 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | R9H91 (Missouri) | Secondary |
207U00000X | Nuclear Medicine | R9H91 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Barnes Jewish Hospital | Saint louis, MO | Hospital |
Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Phelps County Regional Medical Center | Rolla, MO | Hospital |
Christian Hospital Northeast | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Miracl Llc | 4587908041 | 68 |
Washington University | 9830008770 | 2516 |
Entity Name | Washington University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
Entity Name | Miracl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
Mailing Address | Practice Location Address |
---|---|
Dr Farrokh Dehdashti, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-7200 | Dr Farrokh Dehdashti, MD 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110-1016 Ph: (314) 362-7200 |