| Humberto M Fagundes, MD | |
|
3015 N New Ballas Rd, St Louis, MO 63131 | |
| (314) 996-5180 | |
| (314) 821-2180 |
| Full Name | Humberto M Fagundes |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 3015 N New Ballas Rd, St Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033227806 | NPI | - | NPPES |
| 32286 | Other | BNDD | |
| 100121 | Other | MO LICENSE | |
| 33012444 | Other | CPIN | |
| 920004686 | Other | RRMEDICARE | |
| 207947516 | Other | MCAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 100121 (Missouri) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 100121 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Humberto M Fagundes, MD 55 W Port Plz, Suite 300, Saint Louis, MO 63146-3109 Ph: (314) 548-4772 | Humberto M Fagundes, MD 3015 N New Ballas Rd, St Louis, MO 63131 Ph: (314) 996-5180 |
John A Merkle, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 774 N New Ballas Rd, St Louis, MO 63141 Phone: 314-567-1656 Fax: 314-567-0622 | |
Bruce J Walz, MD Radiology Medicare: Medicare Enrolled Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8815 Fax: 314-268-5106 | |
Jenny Lynne Shaffer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Road, Attn Cancer Care Center, St Louis, MO 63128 Phone: 314-525-1688 Fax: 314-525-1689 | |
John H Niemeyer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3015 N New Ballas Rd, St Louis, MO 63131 Phone: 314-996-5180 Fax: 314-821-2180 | |
Ustun Aydingoz, MD Radiology Medicare: Medicare Enrolled Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-268-5783 Fax: 314-268-5116 | |
Amy A Mosher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3015 N New Ballas Rd, St Louis, MO 63131 Phone: 314-966-5180 Fax: 314-821-2180 |