Malti B Dave


Address: 965 Mattox Dr, Sullivan, MO 63080-2365

Malti B Dave (NPI# 1801879051, PAC ID# 0547232787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1801879051
PAC ID by PECOS 0547232787
Professional Enrollment ID I20040810000177
Full Name Malti B Dave
Address 965 Mattox Dr
Sullivan
MO 63080-2365
Gender F
Credential MD
Graduation Year 1984
Primary Specialty ANESTHESIOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
261337 MISSOURI BAPTIST SULLIVAN HOSPITAL

Other Locations

Address Phone Organization
11605 Studt Ave, Suite 120, Saint Louis, MO 63141-7052
965 Mattox Dr, Sullivan, MO 63080-2365

Organization Information

Office Location

Street Address 965 MATTOX DR
City SULLIVAN
State MO
Zip 63080-2365

Physicians in the same location

Name Specialty Organization Address
Mary J Bjornstad Nurse Practitioner Missouri Baptist Hospital of Sullivan 965 Mattox Dr, Sullivan, MO 63080-2365
Tiffany J Voss Nurse Practitioner Missouri Baptist Hospital of Sullivan 965 Mattox Dr, Sullivan, MO 63080-2365
Jennifer Fernando Barbin Internal Medicine Missouri Baptist Hospital of Sullivan 965 Mattox Dr, Sullivan, MO 63080-2365
Kayla E Dawson Nurse Practitioner Missouri Baptist Hospital of Sullivan 965 Mattox Dr, Sullivan, MO 63080-2365
Gregg Jonathan Berdy Ophthalmology Berdy and Malhotra PC 965 Mattox Dr, Sullivan, MO 63080-2365
Ranjan Prakash Malhotra Ophthalmology Berdy and Malhotra PC 965 Mattox Dr, Sullivan, MO 63080-2365
Keith A Turlington Podiatry 965 Mattox Dr, Sullivan, MO 63080-2365
Jason Ross Rudman Otolaryngology Physician Groups Lc 965 Mattox Dr, Sullivan, MO 63080-2365
Robert C Brusatti Optometry Berdy and Malhotra PC 965 Mattox Dr, Sullivan, MO 63080-2365
Sarah M Mckee Nurse Practitioner Missouri Baptist Hospital of Sullivan 965 Mattox Dr, Sullivan, MO 63080-2365
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Name Specialty Organization Address
Katie Iliff Occupational Therapy 103 Grande Ctr, Sullivan, MO 63080-1266
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Meghan Joyce Berti Speech Language Pathologist Therapy Lifetime Consultants, LLC 103 Grande Ctr, Sullivan, MO 63080-1266
Mary E Hulsey Occupational Therapy Therapy Lifetime Consultants, LLC 103 Grande Ctr, Sullivan, MO 63080-1266
David P Prange Optometry Stroetker Prange Riley Optometrists PC 280 E Springfield Rd, Sullivan, MO 63080-1364
Joseph Aemilius Stroetker Optometry Stroetker Prange Riley Optometrists PC 280 E Springfield Rd, Sullivan, MO 63080-1364
Jason T Riley Optometry Stroetker Prange Riley Optometrists PC 280 E Springfield Rd, Sullivan, MO 63080-1364
Kyle Sherwood Optometry Stroetker Prange Riley Optometrists PC 280 E Springfield Rd, Sullivan, MO 63080-1364
Adeel I Khan Pulmonary Disease Mercy Clinic Pulmonology Washington LLC 1326 S Service Rd W, Suite 20, Sullivan, MO 63080-2306
Felipe A Eljaiek Internal Medicine Mercy Clinic East Communities 1326 S Service W Rd, Suite 20, Sullivan, MO 63080-2306
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Competitor

Search similar physicians

City SULLIVAN
Zip Code 63080
Specialty ANESTHESIOLOGY
City + Specialty SULLIVAN + ANESTHESIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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