Michael D. Bazzani, M.D.

Diagnostic Radiology Physician · Saint Louis, MO

Individual Active NPI

NPI number 1013118702

Practice location

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone
(314) 525-1165
Fax
(314) 525-1485

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NPI record

NPI
1013118702
Entity type
Individual (Type 1)
Enumeration date
May 30, 2007
Last updated
September 7, 2022
Certified
September 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Diagnostic Radiology Physician Primary 2085R0202X 2020011605 MO
Diagnostic Radiology Physician 2085R0202X MO00044498 TN

Mailing address

11475 Olde Cabin Rd Ste 200
Saint Louis, MO 63141-7129
Phone
(314) 991-8200
Fax
(314) 569-1787

About Dr. Bazzani

Michael D. Bazzani, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Diagnostic Radiology Physician (code 2085R0202X). The practice location is 10010 Kennerly Rd, Saint Louis, MO 63128-2106. The NPI number 1013118702 was assigned on May 30, 2007 and the record was last updated on September 7, 2022.

Dr. Bazzani lists 2 licenses in the registry: #2020011605 (MO) for Diagnostic Radiology Physician; #MO00044498 (TN) for Diagnostic Radiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael D. Bazzani, M.D.?

The NPI number is 1013118702.

What is the phone number of Dr. Bazzani?

The phone number listed for the practice location is (314) 525-1165.

Where is Dr. Bazzani located?

10010 Kennerly Rd, Saint Louis, MO 63128-2106.

What is the taxonomy code for Dr. Bazzani?

The primary taxonomy code is 2085R0202X – Diagnostic Radiology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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