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

Mohamed Fawzi Mudarres

Individual provider Nephrology Physician · NPI 1871373944

Mohamed Fawzi Mudarres is a Nephrology Physician in Saint Louis, Missouri. Licensed in Iowa and Missouri. Registered with an NPI since 2023.

Licensed in
IA, MO
In the registry since
2023
Specialties on file
2

Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2025020148 (MO)
Nephrology Physician Taxonomy 207RN0300X · Licence R-12809 (IA)

Record details

NPI number1871373944
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 4, 2023
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

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