Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 2019018914 | MO |
NPI | 1821452863 |
---|---|
Provider Name | Cheshil P Dixit |
First Address | Kansas City, MO 64187-4797 |
Second Address | Saint Louis, MO 63127-1665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2016 |
Last Update Date | 04/08/2021 |