Dara, Bhajanlal S
Dara, Bhajanlal S is an sole proprietor health care provider with primary practice located at 777 S New Ballas Rd Ste 328W , Saint Louis MO 63141-8748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Dara, Bhajanlal S can be contacted via phone (314) 869-0370.Contact Information
Primary practice address
777 S New Ballas Rd Ste 328W
Saint Louis MO 63141-8748
Phone: (314) 869-0370
Fax: (314) 869-5098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 105728 | Missouri |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 105728 | Missouri |
Profile Details
| NPI number | 1699708016 |
|---|---|
| LBN Legal business name | Dara, Bhajanlal S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Mar 7th, 2022 - about 3 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 | 1699708016 | NPPES |
| Missouri | MEDICAID | 506118603 | |
| Missouri | MEDICAID | 207695529 | |
| Missouri | MEDICAID | 507043701 |
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