| Dr Giordano Fabricio Cittolin Santos, MD PHD | |
| 
					11133 Dunn Rd, Div Im Medical Oncology, Saint Louis, MO 63136-6163  | |
| (800) 647-2098 | |
| (314) 362-3192 | 
| Full Name | Dr Giordano Fabricio Cittolin Santos | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Medical Oncology | 
| Location | 11133 Dunn Rd, Saint Louis, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649767799 | NPI | - | NPPES | 
| 200098816 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 2024018592 (Missouri) | Secondary | 
| 207RX0202X | Internal Medicine - Medical Oncology | 2024018592 (Missouri) | Primary | 
| Entity Name | Washington University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Giordano Fabricio Cittolin Santos, MD PHD Po Box 7412011, Chicago, IL 60674-2011 Ph: (800) 647-2098  | Dr Giordano Fabricio Cittolin Santos, MD PHD 11133 Dunn Rd, Div Im Medical Oncology, Saint Louis, MO 63136-6163 Ph: (800) 647-2098  | 
Conor Mccartney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100  | |
Dr. Faris Adam Bakeer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878  | |
Dr. Rehan Rais, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878  | |
Nathan Farkas, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930  | |
Dr. Randy Olivier Laine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878  | |
Dr. Erin Leigh Dyer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959  | |
Nakul Shah,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000  |