Provider Demographics
NPI:1841540382
Name:ELPIS HEALTHCARE INC
Entity type:Organization
Organization Name:ELPIS HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIVEK
Authorized Official - Middle Name:K
Authorized Official - Last Name:MANCHANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-268-6307
Mailing Address - Street 1:9918 GRANDVIEW FOREST CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-0046
Mailing Address - Country:US
Mailing Address - Phone:573-268-6307
Mailing Address - Fax:
Practice Address - Street 1:9918 GRANDVIEW FOREST CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-0046
Practice Address - Country:US
Practice Address - Phone:573-268-6307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain