| Sanjay A. Patwardhan, Md, Pc | |
|
13610 Barrett Office Dr Suite 110 Manchester MO 63021-7816 | |
| (314) 909-4700 | |
| (314) 909-4712 |
| Full Name | Sanjay A. Patwardhan, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13610 Barrett Office Dr, Manchester, Missouri |
| Authorized Official Name and Position | Sanjay A Patwardhan (PRESIDENT) |
| Authorized Official Contact | 3149094700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay A. Patwardhan, Md, Pc Po Box 952037 Saint Louis MO 63195-2037 Ph: (636) 566-8155 | Sanjay A. Patwardhan, Md, Pc 13610 Barrett Office Dr Suite 110 Manchester MO 63021-7816 Ph: (314) 909-4700 |
| NPI Number | 1194783068 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194783068 | NPI | - | NPPES |
| 508330206 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 107804 (Missouri) | Primary |
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