Provider Demographics
NPI:1225341068
Name:HAWASLI, JENNIFER ANDREA (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANDREA
Last Name:HAWASLI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:12700 SOUTHFORK RD STE 255
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-3286
Mailing Address - Country:US
Mailing Address - Phone:314-525-1545
Mailing Address - Fax:314-525-1685
Practice Address - Street 1:6265 ROCK CHALK DR
Practice Address - Street 2:SUITE 2400
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049
Practice Address - Country:US
Practice Address - Phone:785-505-3715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2020-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20160089132086X0206X
KS04434552086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology