Provider Demographics
NPI:1508151333
Name:HLATSHWAYO, MATIFADZA GAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:MATIFADZA
Middle Name:GAIL
Last Name:HLATSHWAYO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8051
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-9098
Mailing Address - Fax:314-362-9851
Practice Address - Street 1:620 S TAYLOR AVE
Practice Address - Street 2:STE 100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1035
Practice Address - Country:US
Practice Address - Phone:314-362-9098
Practice Address - Fax:314-362-9851
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2019-08-22
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Provider Licenses
StateLicense IDTaxonomies
MO2019013172207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine