Eapen, Manoj K
Eapen, Manoj K is an individual health care provider with primary practice located at 1027 Bellevue Ave Ste 200, Saint Louis MO 63117-1851. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Eapen, Manoj K can be contacted via phone (314) 645-6450.Contact Information
Primary practice address
1027 Bellevue Ave Ste 200
Saint Louis MO 63117-1851
Phone: (314) 645-6450
Fax: (314) 645-2560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2003007036 | Missouri |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 194881 | Missouri |
Profile Details
| NPI number | 1801892666 |
|---|---|
| LBN Legal business name | Eapen, Manoj K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Oct 22nd, 2021 - 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 | 1801892666 | NPPES |
| Missouri | MEDICAID | 208766105 |
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