Desai, Ketan M
Desai, Ketan M is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 7011B, Saint Louis MO 63141-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Desai, Ketan M can be contacted via phone (314) 251-6840.Contact Information
Primary practice address
621 S New Ballas Rd Suite 7011B
Saint Louis MO 63141-8232
Phone: (314) 251-6840
Fax: (314) 251-7249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2001015133 | Missouri |
Profile Details
| NPI number | 1285759985 |
|---|---|
| LBN Legal business name | Desai, Ketan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Dec 15th, 2014 - about 10 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 | 1285759985 | NPPES |
| Missouri | Other | P01112373 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 1285759985 | RAILROAD MEDICARE |
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