Individual provider · Type 1 NPI

Esat I. Memisoglu, MD

Body Imaging Physician · St. Louis, MO

NPI number 1396765749 Active

Practice location

3635 Vista
St. Louis, MO 63110

Fax (314) 268-5116

Mailing address

3691 Rutger Ave, Provider Enrollment
St. Louis, MO 63110

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician Primary 2085B0100X2001007775 (MO)
Diagnostic Radiology Physician 2085R0202X2001007775 (MO)
Diagnostic Ultrasound Physician 2085U0001X2001007775 (MO)

Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.

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About NPI 1396765749

Esat I. Memisoglu, MD's National Provider Identifier is 1396765749, issued on Jul 20, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in St. Louis, MO. The record was last updated on Jan 9, 2008.