Individual
DR. NADYA A AJANEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 S WOODS MILL RD, STE 650N, CHESTERFIELD, MO 63017-3625
(314) 682-3625
(314) 590-5953
Mailing address
222 S WOODS MILL RD, STE 650N, CHESTERFIELD, MO 63017-3625
(314) 682-3625
(314) 590-5953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005006925
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206221400
—
MO
01
—
841682728
TAX ID
—
01
—
P00259468
RR MEDICARE
—
Enumeration date
08/21/2006
Last updated
02/18/2015
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