Vivek K Manchanda in O Fallon - Pain Medicine

Vivek K Manchanda - NPI 1083729941

Vivek K Manchanda is a Pain Medicine in O Fallon, Missouri. Vivek K Manchanda practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Vivek K Manchanda is 1083729941. The last update date is 2015-04-26.

Vivek K Manchanda's current location address is 4122 Keaton Crossing Blvd, O Fallon, Missouri. You can contact this provider via phone number 6363299077 and fax number 6363299076. The mailing address for Vivek K Manchanda is 4122 Keaton Crossing Blvd, O Fallon, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Vivek K Manchanda
Address 4122 Keaton Crossing Blvd, O Fallon, Missouri
Phone Number 6363299077
Fax Number 6363299076
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1083729941
Provider Enumeration Date 2006-08-20
Last Updated Date 2015-04-26

Provider Mailing Address Detail

Address 4122 Keaton Crossing Blvd
City O Fallon
State Missouri (MO)
Post Code 633688218
Phone Number 6363299077
Fax Number 6363299076

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 208Vp0000X
Licence No 2006017511
Definition:
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431560263 MO TRICARE WEST
P01433382 MO RAILROAD MEDICARE PROVIDER PTA
7233350001 MO NORIDIAN , MEDICARE DME
P00836305 RAILROAD MEDICARE
1083729941 MO --

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FAQs about Vivek K Manchanda

What is the unique identification code assigned to Vivek K Manchanda by the Centers for Medicare & Medicaid Services?

The Vivek K Manchanda has been issued the NPI (National Provider Identifier) 1083729941. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Vivek K Manchanda is physically located?

The Vivek K Manchanda is physically situated at the following address: 4122 Keaton Crossing Blvd, O Fallon, MO, 633688218.

What is Vivek K Manchanda's area of expertise and its corresponding taxonomy classification?

The Vivek K Manchanda's field of specialization is Pain Medicine, and it falls under the taxonomy code 208Vp0000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1083729941 assigned to Vivek K Manchanda?

The Vivek K Manchanda was issued its 1083729941 on 2006-08-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Vivek K Manchanda most recently updated or revised?

The details related to Vivek K Manchanda, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-26.

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