Individual
DR. BHAJANLAL S DARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 S NEW BALLAS RD STE 328W, SAINT LOUIS, MO 63141-8748
(314) 869-0370
(314) 869-5098
Mailing address
1234 LAY RD, SAINT LOUIS, MO 63124-1872
(314) 869-0370
(314) 869-5098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
105728
MO
207RN0300X
Nephrology Physician
Primary
105728
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207695529
—
MO
05
—
506118603
—
MO
05
—
507043701
—
MO
Enumeration date
07/09/2006
Last updated
03/07/2022
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