Jay Mahadevan Inc

LBN: Jay Mahadevan Inc
Jay Mahadevan Inc is an health care organization with primary practice located at 3535 S Jefferson Ave Suite 304, St Louis MO 63118. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jay Mahadevan Inc can be contacted via phone (314) 865-6585, or through Mahadevan, Jay via phone (314) 865-6582.

Contact Information

Primary practice address
3535 S Jefferson Ave Suite 304 St Louis MO 63118
Phone: (314) 865-6585
Fax: (314) 865-6599
Website:
Map and Directions
Authorized official contact:
Name: Mahadevan, Jay Doctor of Medicine (MD)
Phone: (314) 865-6582

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1386747715
LBN Legal business name Jay Mahadevan Inc
DBA Doing business as
Authorized official Mahadevan, Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Aug 5th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386747715 NPPES
Missouri Other 0400415 UHC
Missouri Other 100656 UHC
Missouri MEDICAID 201582608 UHC

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