Elna Mieko Nagasako, MD

General Practice Physician · Saint Louis, MO

Individual Active NPI

NPI number 1164628798

Practice location

4901 Forest Park Ave
Wohl Clinic Ste 241
Saint Louis, MO 63108-1402
Phone
(314) 362-5060
Fax
(314) 362-5969

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NPI record

NPI
1164628798
Entity type
Individual (Type 1)
Enumeration date
June 21, 2007
Last updated
January 24, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 2010011916 MO

Mailing address

660 S Euclid Ave
C B 8121
Saint Louis, MO 63110-1010
Phone
(314) 362-5060
Fax
(314) 362-5969

About Dr. Nagasako

Elna Mieko Nagasako, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 4901 Forest Park Ave, Wohl Clinic Ste 241, Saint Louis, MO 63108-1402. The NPI number 1164628798 was assigned on June 21, 2007 and the record was last updated on January 24, 2018.

Dr. Nagasako lists a license in the registry: #2010011916 (MO) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elna Mieko Nagasako, MD?

The NPI number is 1164628798.

What is the phone number of Dr. Nagasako?

The phone number listed for the practice location is (314) 362-5060.

Where is Dr. Nagasako located?

4901 Forest Park Ave, Wohl Clinic Ste 241, Saint Louis, MO 63108-1402.

What is the taxonomy code for Dr. Nagasako?

The primary taxonomy code is 208D00000X – General Practice Physician.

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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