Individual
MAANASI MADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
3009 N BALLAS RD STE 227A, SAINT LOUIS, MO 63131-2308
(314) 996-7800
(314) 996-7829
Mailing address
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
(314) 996-7800
(314) 996-7829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016009222
MO
207R00000X
Internal Medicine Physician
50283
MN
208M00000X
Hospitalist Physician
Primary
50283
MN
Other
Enumeration date
07/30/2008
Last updated
03/10/2023
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