Organization
RAINBOW KIDS PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARGAV KANANI M.D. (MANAGER)
(314) 805-4467
Entity
Organization
Contact information
Practice address
930 PARK DR, LOWER LEVEL, STE GENEVIEVE, MO 63670-1539
(573) 517-0999
Mailing address
210 HOSPITAL LN, PERRYVILLE, MO 63775-1276
(573) 517-0999
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
105937
MO
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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