Dossu J Chanduwadia, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Festus, MO
NPI 1790848950 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1790848950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD35388 (MO)
- Practice address
- 1400 US Highway 61
Suite 110
Festus, MO 63028-4100 - Phone
- (636) 933-6070
- Fax
- (636) 933-0942
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD35388 | MO | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD35388 | MO | Yes |
Addresses
Primary practice location
1400 US Highway 61
Suite 110
Festus, MO 63028-4100
Mailing address
1400 US Highway 61
Suite 110
Festus, MO 63028-4100
Phone (636) 933-6070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07154 | Other | MO | BLUE CROSS BLUE SHIELD |
| 241846 | Other | MO | HEALTHLINK NUMBER |
| 7286 | Other | MO | GHP NUMBER |
Other names
- Dr. DJC Wadia
Other providers in Festus, MO
- Susan C. Cassimatis
- Whitney Cawvey
- Ccpartners LLC
- Kristy L Celeslie
- Amy Marie Cernik
- Kay Lyn Chappell
- Padmini Charles
- Raghav Chaudhary
- Yusuf M Chaudhry
- Ramona B. Chebli
All providers in Festus, MO · Obstetrics & Gynecology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.