IndividualActive
Dani Tazbaz, MD
NPI 1356464200 · Pulmonary Disease Physician · Saint Louis, MO
Provider details
- NPI number
- 1356464200
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036111031 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1035 Bellevue Ave Ste 500
Saint Louis, MO 63117-1843
Phone: (314) 925-4744
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 955534
Saint Louis, MO 63195-5534
Additional practice locations (1)
- 1 Professional DrSuite 150Alton, IL 62002-5068Phone: (618) 463-8660Fax: (618) 463-8666
Registry dates
- Enumerated
- 2007-04-07
- Last updated
- 2020-11-12
- Certified
- 2020-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.