Havaldar, Sanjay

Havaldar, Sanjay is an individual health care provider with primary practice located at 3901 S Fremont Ave , Springfield MO 65804-6538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Havaldar, Sanjay can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3901 S Fremont Ave Springfield MO 65804-6538
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 116190 Missouri

Profile Details

NPI number 1881637296
LBN Legal business name Havaldar, Sanjay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 15th, 2021 - about 4 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 1881637296 NPPES
Missouri MEDICAID 203834106
Missouri Other 114559

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