Provider Demographics
NPI:1356394498
Name:CALANDRINO, FRANK S JR (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:S
Last Name:CALANDRINO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:330 FIRST CAPITOL DR.
Mailing Address - Street 2:SUITE 470
Mailing Address - City:ST. CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2847
Mailing Address - Country:US
Mailing Address - Phone:636-946-1650
Mailing Address - Fax:636-947-6621
Practice Address - Street 1:330 FIRST CAPITOL DR.
Practice Address - Street 2:SUITE 470
Practice Address - City:ST. CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2847
Practice Address - Country:US
Practice Address - Phone:636-946-1650
Practice Address - Fax:636-947-6621
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR4E76207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202702007Medicaid
MO202702007Medicaid
MO056050238Medicare ID - Type UnspecifiedSJHW-MO
MO141050091Medicare ID - Type UnspecifiedSJH-MO
E08514Medicare UPIN