Individual
KESHAV SHIVRAM JOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12855 N 40 DR, SUITE 275, SAINT LOUIS, MO 63141-8657
(314) 469-6200
(314) 469-6206
Mailing address
1207 MAPLE ST, FARMINGTON, MO 63640-7616
(573) 756-3000
(573) 756-3002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R4B81
MO
208VP0000X
Pain Medicine Physician
R4B81
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA1140005
MEDICARE PTAN
MO
Enumeration date
04/05/2006
Last updated
05/28/2009
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