Provider Demographics
NPI:1053341636
Name:BEAT, MICHAEL G (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:G
Last Name:BEAT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4921 PARKVIEW PL
Mailing Address - Street 2:DEPT RADIATION ONCOLOGY, LL
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1032
Mailing Address - Country:US
Mailing Address - Phone:314-747-7236
Mailing Address - Fax:314-362-7769
Practice Address - Street 1:10 BARNES WEST DR
Practice Address - Street 2:STE 101
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6287
Practice Address - Country:US
Practice Address - Phone:314-996-3335
Practice Address - Fax:314-996-3338
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2023-10-16
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Provider Licenses
StateLicense IDTaxonomies
MOR5P452085R0001X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208361402Medicaid
MO208361402Medicaid
MOP00740147Medicare PIN
MO108160002Medicare PIN
MOH33795Medicare UPIN
MO208361402Medicaid