Individual
DR. PAULO S BICALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12152 TESSON FERRY RD, SAINT LOUIS, MO 63128-1726
(314) 849-5414
(314) 849-2042
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
108954
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901359
UNITED HEALTHCARE
MO
01
—
133769
GROUP HEALTH PLAN
MO
01
—
141956
HEALTHLINK
MO
01
—
177003
BLUE CROSS BLUE SHIELD
MO
01
—
3931797
CIGNA
MO
01
—
7641235
AETNA
MO
01
—
P00023249
RAILROAD MEDICARE
MO
Enumeration date
05/16/2006
Last updated
01/18/2013
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