Patwardhan, Sanjay A
Patwardhan, Sanjay A is an individual health care provider with primary practice located at 14314 Manderleigh Woods Dr , Chesterfield MO 63017-8055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Patwardhan, Sanjay A can be contacted via phone (636) 566-8155.Contact Information
Primary practice address
14314 Manderleigh Woods Dr
Chesterfield MO 63017-8055
Phone: (636) 566-8155
Fax: (314) 576-0809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 107804 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 107804 | Missouri |
Profile Details
| NPI number | 1073583803 |
|---|---|
| LBN Legal business name | Patwardhan, Sanjay A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Dec 6th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073583803 | NPPES |
| Missouri | MEDICAID | 1073583803 | |
| Missouri | MEDICAID | 1073583803 |
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