Pachalla, Vani
Pachalla, Vani is an individual health care provider with primary practice located at 2220 Lemp Ave , Saint Louis MO 63104-2700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pachalla, Vani can be contacted via phone (314) 814-8531.Contact Information
Primary practice address
2220 Lemp Ave
Saint Louis MO 63104-2700
Phone: (314) 814-8531
Fax: (314) 814-8542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 103106 | Missouri |
Profile Details
| NPI number | 1063418382 |
|---|---|
| LBN Legal business name | Pachalla, Vani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 22nd, 2016 - about 8 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 | 1063418382 | NPPES |
| Missouri | MEDICAID | 208524504 |
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