Individual
MR. BHARGAV KANANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 HOSPITAL LN, PERRYVILLE, MO 63775-1276
(573) 517-0999
(573) 517-0812
Mailing address
210 HOSPITAL LN, PERRYVILLE, MO 63775-1276
(573) 517-0999
(573) 517-0812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MO105937
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111538
BCBS
MO
01
—
12502274
UHC
MO
05
—
208714709
—
MO
01
—
281569
HEALTHLINK
MO
01
—
50255
GHP
MO
01
—
50555
PRINCIPAL
MO
01
—
78303300457
AETNA
MO
01
—
999557
COMMUNITY CARE PLUS
MO
Enumeration date
02/09/2006
Last updated
09/20/2012
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