Provider Demographics
NPI:1538143805
Name:TEKWANI, NAVIN HIRALAL (MD)
Entity Type:Individual
Prefix:
First Name:NAVIN
Middle Name:HIRALAL
Last Name:TEKWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9911 KENNERLY RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2700
Mailing Address - Country:US
Mailing Address - Phone:314-842-2020
Mailing Address - Fax:314-842-1407
Practice Address - Street 1:9911 KENNERLY RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2700
Practice Address - Country:US
Practice Address - Phone:314-842-2020
Practice Address - Fax:314-842-1407
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO115507207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H46187Medicare UPIN
002013631Medicare ID - Type Unspecified