John Jacob Kakkanathu in Saint Louis - Internal Medicine
John Jacob Kakkanathu - NPI 1346458411
John Jacob Kakkanathu is a Internal Medicine in Saint Louis, Missouri. John Jacob Kakkanathu practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John Jacob Kakkanathu is 1346458411. The last update date is 2014-07-17.
John Jacob Kakkanathu's current location address is 621 S New Ballas Rd, Saint Louis, Missouri. You can contact this provider via phone number 3142516339 and fax number 3142514564. The mailing address for John Jacob Kakkanathu is 621 S New Ballas Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Jacob Kakkanathu |
|---|---|
| Address | 621 S New Ballas Rd, Saint Louis, Missouri |
| Phone Number | 3142516339 |
| Fax Number | 3142514564 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1346458411 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2014-07-17 |
Provider Mailing Address Detail
| Address | 621 S New Ballas Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631418232 |
| Phone Number | 3142516339 |
| Fax Number | 3142514564 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 2009008964 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1346458411 | MO | -- | |
| P00744531 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Jacob Kakkanathu by the Centers for Medicare & Medicaid Services?
The John Jacob Kakkanathu has been issued the NPI (National Provider Identifier) 1346458411 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Jacob Kakkanathu's facilities are situated?
The facilities of John Jacob Kakkanathu are physically located at the following address: 621 S New Ballas Rd, Saint Louis, MO, 631418232.
What is John Jacob Kakkanathu's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Jacob Kakkanathu's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the John Jacob Kakkanathu receive the assignment of its 1346458411 from the Centers for Medicare & Medicaid Services?
The John Jacob Kakkanathu was issued its 1346458411 by the Centers for Medicare & Medicaid Services on 2007-05-20.
When was the information related to John Jacob Kakkanathu most recently updated or refreshed?
The details pertaining to the John Jacob Kakkanathu, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-07-17.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC