Individual
SANJAY A PATWARDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14314 MANDERLEIGH WOODS DR, CHESTERFIELD, MO 63017-8055
(636) 566-8155
(314) 576-0809
Mailing address
PO BOX 958946, SAINT LOUIS, MO 63195-8946
(314) 576-0809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
107804
MO
208M00000X
Hospitalist Physician
107804
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073583803
—
IL
05
—
1073583803
—
MO
Enumeration date
01/24/2006
Last updated
12/06/2013
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