Individual
DR. MAHESH R BAGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14825 N OUTER 40 RD STE 200, CHESTERFIELD, MO 63017-2152
(314) 336-2555
(844) 894-6965
Mailing address
14825 N OUTER 40 RD STE 200, CHESTERFIELD, MO 63017-2152
(314) 336-2555
(844) 894-6965
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2004015911
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901688
UNITED HEALTHCARE
MO
01
—
191945
BLUE CROSS BLUE SHIELD
MO
01
—
222221
GROUP HEALTH PLAN
MO
01
—
673385
HEALTHLINK
MO
01
—
7275472
AETNA
MO
01
—
P00209253
RAILROAD MEDICARE
MO
Enumeration date
05/11/2006
Last updated
05/01/2019
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