Malti Dave, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

112797 Issued in MO

Practice address

11605 Studt Ave Ste 120
Creve Coeur, MO 63141-7052

Phone

(314) 432-7426

Fax

(314) 432-7247

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Louis Pain Management Center

  • Pain Medicine (Anesthesiology) Physician
  • Saint Louis, MO
  • NPI 1811072143
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1801879051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630430209",
            "telephone_number": "314-432-2580",
            "fax_number": "314-432-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 STUDT AVE STE 120",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417052",
            "telephone_number": "314-432-7426",
            "fax_number": "314-432-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Mattox Dr",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "MO",
            "postal_code": "630802365",
            "country_code": "US",
            "telephone_number": "314-432-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "MALTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "112797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyly Dang, NP
• Daniel R. Pernoud, DDS, LLC (Glo Dental Studio)
• Caylie Christine Daniels
• Peter G Danis, MD
• Nigel B Darvell, M.S.W., L.C.S.W.
• Jeffery Scott Davis, APN RN
• De Geer Health & Wellness, LLC
• Kourtney Dean, CCC-SLP
• Cindy Decker, LHIS
• Delmar Gardens of Creve Coeur Operating, LLC (Delmar Gardens of Creve Coeur)

• Pain Medicine (Anesthesiology) Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Pain Medicine (Anesthesiology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.