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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285759985 NPPES
Missouri Other P01112373 RAILROAD MEDICARE
Missouri MEDICAID 1285759985 RAILROAD MEDICARE

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