Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 0101231950 | VA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 036092508 | IL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 2011003932 | MO |
NPI | 1023218278 |
---|---|
Provider Name | Dr. Saulius Kalvaitis |
First Address | Saint Louis, MO 63136-6111 |
Second Address | Saint Louis, MO 63136-6111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 06/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023218278 | (05) | MO |
36092508 | (05) | IL |