Provider Demographics
NPI:1932947017
Name:GYNECOLOGIC ONCOLOGY SPECIALISTS
Entity type:Organization
Organization Name:GYNECOLOGIC ONCOLOGY SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:DAN-ARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-508-3311
Mailing Address - Street 1:44 CHESTERFIELD LAKES RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-4506
Mailing Address - Country:US
Mailing Address - Phone:203-508-3311
Mailing Address - Fax:
Practice Address - Street 1:10004 KENNERLY RD STE 370A
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-5118
Practice Address - Country:US
Practice Address - Phone:314-928-0928
Practice Address - Fax:888-440-2472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty