St. Louis Infectious Disease Specialists, LLC
Internal Medicine, Infectious Disease in Saint Louis, MO. Organization (NPI-2).
NPI number1881900124
StatusActive
Last updated in NPPESAug 24, 2010
Details
- NPI
- 1881900124
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Louis Infectious Disease Specialists, LLC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2010
- Last updated
- Aug 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 2004025502 | MO | Yes |
| 207RI0200X | Internal Medicine, Infectious Disease | 2008019273 | MO |
Practice location
3844 S Lindbergh BlvdSuite 250
Saint Louis, MO 63127-1368
Phone 618-670-7090
Mailing address
Po Box 71310 Fenton Plaza
Fenton, MO 63026-0713
Phone 618-624-0220
Authorized official
Rajeev Dewan
Physician
6186240220
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