NPI 1083729941

Vivek K Manchanda, MD

Practitioner Pain Medicine Physician O Fallon, MO

Practice location

Address: 4122 Keaton Crossing Blvd Suite 102, O Fallon, MO 63368-8218
Phone: (636) 329-9077
Fax: (636) 329-9076

Registered specialties (2)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 2006017511 (MO)

Other Pain Medicine providers in Missouri →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 2006017511 (MO)

Other Anesthesiology providers in Missouri →

Registry record

NPI: 1083729941
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2006
Record last updated: 26 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.