Vaidyan, Philip

Vaidyan, Philip is an individual health care provider with primary practice located at 1201 S Grand Blvd , Saint Louis MO 63104-1016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vaidyan, Philip can be contacted via phone (314) 977-5060.

Contact Information

Primary practice address
1201 S Grand Blvd Saint Louis MO 63104-1016
Phone: (314) 977-5060
Fax: (314) 977-1664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2005017816 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2005017816 Missouri

Profile Details

NPI number 1669445508
LBN Legal business name Vaidyan, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jan 14th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669445508 NPPES
Missouri MEDICAID 1669445508

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