| NPI | 1154625887 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2011-01-10 |
| Last Updated | 2017-03-14 |
| Mailing Address | 3619 Richardson Square Dr, Ste 170 Arnold, MO 63010-6022 United States Phone: (636) 717-6776 | Fax: (314) 525-4055 📍 View Map |
| Primary Practice Address | 3619 Richardson Square Dr, Ste 170 Arnold, MO 63010-6022 United States Phone: (636) 717-6776 | Fax: (314) 525-4055 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | TX | BP10033051 |
| Yes | 207Q00000X – Family Medicine | MO | 2011025918 |
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About NPI 1154625887
Mirha Avdagic M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154625887. The primary specialty listed is Family Medicine. The provider is located in Arnold, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-01-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154625887?
NPI 1154625887 belongs to Mirha Avdagic M.D., a Family Medicine in Arnold, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154625887 active?
The current status of NPI 1154625887 in the NPPES registry is Active. The record was last updated on 2017-03-14.
What specialty is NPI 1154625887?
NPI 1154625887 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154625887?
You can verify NPI 1154625887 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154625887?
The primary practice address on file for NPI 1154625887 is 3619 Richardson Square Dr, Arnold, MO 63010-6022. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154625887 issued?
NPI 1154625887 was first issued (enumerated) on 2011-01-10. The NPPES record was last updated on 2017-03-14.
Practice Location Map
Mirha Avdagic is located at 3619 Richardson Square Dr, Arnold, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mirha Avdagic. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1154625887. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | BP10033051 | TX |
| Family Medicine | 2011025918 | MO |