Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | R2A26 | MO |
NPI | 1225007412 |
---|---|
Provider Name | Naresh J Solanki |
First Address | Lake St Louis, MO 63367-1392 |
Second Address | Lake St Louis, MO 63367-1392 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 23/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100957 | HEALTHLINK (01) | MO |
1209358 | UNITED HEALTH CARE (01) | MO |
201171634 | (05) | MO |
409446 | PRUDENTIAL (01) | MO |
500012 | HEALTH PARTNERS (01) | MO |
5758046 | AETNA (01) | MO |
7890 | BLUE SHIELD (01) | MO |
8630 | GROUP HEALTH PLAN (01) | MO |
F28413 | (02) | |
F28413 | MERCY HEALTH PLAN (01) | MO |
PC11413 | CIGNA (01) | MO |