IndividualActive
Blendi Mullalli
NPI 1841959293 · Anesthesiologist Assistant · Saint Louis, MO
Provider details
- NPI number
- 1841959293
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 977-1676
Approximate (ZIP-level) locationGet directions
Mailing address
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Registry dates
- Enumerated
- 2021-12-14
- Last updated
- 2022-02-15
- Certified
- 2022-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.