Vaidyan, Philip
Vaidyan, Philip is an individual health care provider with primary practice located at 1201 S Grand Blvd , Saint Louis MO 63104-1016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vaidyan, Philip can be contacted via phone (314) 977-5060.Contact Information
Primary practice address
1201 S Grand Blvd
Saint Louis MO 63104-1016
Phone: (314) 977-5060
Fax: (314) 977-1664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2005017816 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2005017816 | Missouri |
Profile Details
| NPI number | 1669445508 |
|---|---|
| LBN Legal business name | Vaidyan, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jan 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669445508 | NPPES |
| Missouri | MEDICAID | 1669445508 |
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