Individual
DR. DOSSU J CHANDUWADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 US HIGHWAY 61, SUITE 110, FESTUS, MO 63028-4100
(636) 933-6070
(636) 933-0942
Mailing address
1400 US HIGHWAY 61, SUITE 110, FESTUS, MO 63028-4100
(636) 933-6070
(636) 933-0942
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD35388
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07154
BLUE CROSS BLUE SHIELD
MO
01
—
241846
HEALTHLINK NUMBER
MO
01
—
7286
GHP NUMBER
MO
Enumeration date
12/19/2006
Last updated
07/09/2007
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