Organization
SANJAY A. PATWARDHAN, MD, PC
Active
Other names
PREMIER HOSPITALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY A PATWARDHAN MD (PRESIDENT)
(314) 909-4700
Entity
Organization
Contact information
Practice address
13610 BARRETT OFFICE DR, SUITE 110, MANCHESTER, MO 63021-7816
(314) 909-4700
(314) 909-4712
Mailing address
PO BOX 952037, SAINT LOUIS, MO 63195-2037
(636) 566-8155
(636) 566-8732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
107804
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508330206
—
MO
Enumeration date
05/02/2006
Last updated
11/24/2008
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