Provider Demographics
NPI:1205725017
Name:SAGHEBI, JAVAD (MD)
Entity type:Individual
Prefix:DR
First Name:JAVAD
Middle Name:
Last Name:SAGHEBI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3691 RUTGER ST DEPT OF
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-2515
Mailing Address - Country:US
Mailing Address - Phone:314-617-2876
Mailing Address - Fax:314-617-2901
Practice Address - Street 1:3691 RUTGER ST DEPT OF
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-2515
Practice Address - Country:US
Practice Address - Phone:314-617-2876
Practice Address - Fax:314-617-2901
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2024036159207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy