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

Individual provider Cardiovascular Disease Physician · NPI 1619960606

Samer Thanavaro, MD is a Cardiovascular Disease Physician in Saint Louis, Missouri. Works from 2 locations. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2005
Specialties on file
2
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

11125 Dunn Rd Ste 204
Saint Louis, MO 63136-6132
Phone: (314) 839-5522
Fax: (314) 839-5351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12255 De Paul Dr Ste 600, Bridgeton, MO 63044-2515 — (314) 770-9888

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence R6765 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 036072313 (IL)

Record details

NPI number1619960606
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021

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