Menezes, Maithilee Denise

Menezes, Maithilee Denise is an individual health care provider with primary practice located at 1 Childrens Pl Dept Otolaryngology, Ste 3S, Saint Louis MO 63110-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as her primary health care specialty. Menezes, Maithilee Denise can be contacted via phone (314) 454-6162.

Contact Information

Primary practice address
1 Childrens Pl Dept Otolaryngology, Ste 3S Saint Louis MO 63110-1002
Phone: (314) 454-6162
Fax: (314) 454-2174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 2012023213 Missouri

Profile Details

NPI number 1730398124
LBN Legal business name Menezes, Maithilee Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Apr 25th, 2024 - about 8 months 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 1730398124 NPPES
Missouri MEDICAID 204441703

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