Individual
DR. ANAND CHAMPAK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, STE C, SAINT LOUIS, MO 63110-1002
(314) 454-2694
(314) 454-2515
Mailing address
1 CHILDRENS PL, C B 8116, SAINT LOUIS, MO 63110-1002
(314) 454-2694
(314) 454-2515
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
2005008771
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103810034
—
MO
05
—
150623313
—
IL
05
—
1516612
—
TN
Enumeration date
07/17/2006
Last updated
01/17/2014
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