Mohamed Fawzi Mudarres

NPI 1871373944 · on the registry since 2023

Practice

Address: 615 S New Ballas Rd
Saint Louis, MO 63141
Phone: (314) 251-6000
Organisation at this address: Mercy Support Services
Pediatrix Medical Group
Mercy Labs St Louis Llc
Mercy Health Services, Llc
Kindred Hospitals East, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 765

Registry record

Primary taxonomy: 207R00000X
207R00000X
Also registered as: 207RN0300X
Licence states on file: IA, MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri