Individual
MR. NAND K KODWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12303 DEPAUL DR, BRIDGETON, MO 63044
(314) 344-7049
(314) 344-7073
Mailing address
12303 DEPAUL DR, BRIDGETON, MO 63044
(314) 344-7049
(314) 344-7073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.146368
IL
207L00000X
Anesthesiology Physician
Primary
MD114524
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203876719
—
MO
Enumeration date
10/28/2005
Last updated
02/22/2023
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