Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ladan Fazlollahi, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1922386838

Dr. Ladan Fazlollahi, MD is a Pathology in Saint Louis, Missouri. Qualified in 2004, 22 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Licensed in
MO
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

660 S Euclid Ave
Saint Louis, MO 63110-1010
Phone: (314) 362-7440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 2011016187 (MO)

Record details

NPI number1922386838
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 26, 2011
Last updated in NPPESJuly 26, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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