| Dr Dipesh Keshavlal Shah, MD | |
|
11133 Dunn Rd, Saint Louis, MO 63136-6163 | |
| (314) 355-3003 | |
| (314) 355-0515 |
| Full Name | Dr Dipesh Keshavlal Shah |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 11133 Dunn Rd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215115993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2019005578 (Missouri) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2019005578 (Missouri) | Primary |
| Entity Name | St Clair Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467485565 PECOS PAC ID: 4183511553 Enrollment ID: O20040301000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dipesh Keshavlal Shah, MD 660 S Euclid Ave, Cb 8054, Saint Louis, MO 63110-1010 Ph: (314) 355-3003 | Dr Dipesh Keshavlal Shah, MD 11133 Dunn Rd, Saint Louis, MO 63136-6163 Ph: (314) 355-3003 |
Masaya Hirayama, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1800 S Brentwood Blvd Apt 213, Saint Louis, MO 63144 Phone: 314-368-2002 | |
Dr. Sudhan Nagarajan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Surg Ct Adult Cardio, Saint Louis, MO 63110 Phone: 314-362-7260 Fax: 866-272-2816 | |
Dr. Kunal D Kotkar, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Surg Ct Adult Cardio, Ste 8a, Saint Louis, MO 63110 Phone: 314-362-7260 Fax: 866-272-2816 | |
Michael Mauney, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3023 N Ballas Rd Ste 150d, Saint Louis, MO 63131 Phone: 314-996-5287 Fax: 314-432-6068 | |
John Codd, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 126 Southarm Dr, Saint Louis, MO 63122 Phone: 314-822-1938 Fax: 314-698-2838 | |
Mayank Rajanikant Patel, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. George A Patterson, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4500 Forest Park Ave, Div Surg Ct Adult Thoracic, 5th Fl, Saint Louis, MO 63108 Phone: 314-362-7260 Fax: 866-272-2816 |