Provider Demographics
NPI:1376910612
Name:LAHEWALA, SOPAN (MD)
Entity type:Individual
Prefix:
First Name:SOPAN
Middle Name:
Last Name:LAHEWALA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 60352 DEPT OF INTERNAL MEDICINE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-362-1291
Mailing Address - Fax:314-747-1417
Practice Address - Street 1:1 BARNES-JEWISH HOSPITAL PLAZA
Practice Address - Street 2:DIV IM CARDIOLOGY
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-362-1291
Practice Address - Fax:314-747-1417
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2025-05-26
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Provider Licenses
StateLicense IDTaxonomies
NY315815207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease