Organization
METRO ST LOUIS RENAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAJAN SHEWALDAS DARA MD (PRESIDENT)
(314) 869-0370
Entity
Organization
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) 323-4492
(800) 469-1494
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
105728
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506118603
—
MO
Enumeration date
03/13/2008
Last updated
03/19/2022
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