Provider Demographics
NPI:1659722403
Name:OGAWA, SHELLEE LAYNE KAIPOI (MD)
Entity Type:Individual
Prefix:
First Name:SHELLEE
Middle Name:LAYNE KAIPOI
Last Name:OGAWA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:607 S NEW BALLAS RD STE 3100
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8219
Mailing Address - Country:US
Mailing Address - Phone:314-251-8850
Mailing Address - Fax:
Practice Address - Street 1:607 S NEW BALLAS RD STE 3100
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8219
Practice Address - Country:US
Practice Address - Phone:314-251-8850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2016020810208800000X
MO2021017796208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology