Individual provider · Type 1 NPI

Gus Theodos, MD

Interventional Cardiology Physician · St. Louis, MO

NPI number 1053401422 Active

Practice location

3023 N Ballas Rd Ste 200D
St. Louis, MO 63131-2328

Call (314) 996-7272 Map

Mailing address

670 Mason Ridge Center Dr Ste 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Interventional Cardiology Physician Primary 207RI0011X2016007344 (MO)

Interventional Cardiology Physician: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

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About NPI 1053401422

Gus Theodos, MD's National Provider Identifier is 1053401422, issued on Oct 13, 2006. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in St. Louis, MO. The record was last updated on Mar 22, 2021.