Sanjay A. Patwardhan, Md, Pc

NPI 1194783068 - Internal Medicine - 207R00000X

NPI Details
NPI 1194783068
Enumeration Date 05/02/2006
Last Updated 11/24/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SANJAY A SANJAY
Position PRESIDENT
Phone (314) 909-4700
Fax (314) 909-4712
Practice Location
13610 BARRETT OFFICE DR
SUITE 110
MANCHESTER MO, 63021-7816, US
Phone (314) 909-4700
Fax (314) 909-4712
Business Location
PO BOX 952037
SAINT LOUIS MO, 63195-2037, US
Phone (636) 566-8155
Fax (636) 566-8732
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 107804
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According to our database, Sanjay A. Patwardhan, Md, Pc NPI is 1194783068, taxonomy code is 207R00000X and license number is 107804, license state is located at Missouri. Sanjay A. Patwardhan, Md, Pc physically located at 13610 Barrett Office Dr, Manchester MO, 63021-7816. NPI Number 1033115704 has the healthcare provider type.

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1194783068 NPI number is provided on an as is basis without warranty of any kind. 1194783068 is maintained by the National Plan & Provider Enumeration System. The contents of Sanjay A. Patwardhan, Md, Pc are for informational purposes only.