Provider Demographics
NPI:1225007412
Name:SOLANKI, NARESH J (MD)
Entity type:Individual
Prefix:
First Name:NARESH
Middle Name:J
Last Name:SOLANKI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:100 BREVCO PLZ
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-1392
Mailing Address - Country:US
Mailing Address - Phone:636-561-5437
Mailing Address - Fax:636-561-5100
Practice Address - Street 1:100 BREVCO PLZ
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-1392
Practice Address - Country:US
Practice Address - Phone:636-561-5437
Practice Address - Fax:636-561-5100
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2011-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR2A262080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201171634Medicaid
MO100957OtherHEALTHLINK
MO8630OtherGROUP HEALTH PLAN
MO1209358OtherUNITED HEALTH CARE
MO409446OtherPRUDENTIAL
MO7890OtherBLUE SHIELD
MOPC11413OtherCIGNA
MO500012OtherHEALTH PARTNERS
MO5758046OtherAETNA
MOF28413OtherMERCY HEALTH PLAN
MOF28413OtherMERCY HEALTH PLAN