NPI 1144680919

Sorav Jethi

Practitioner Home Health Aide Hazelwood, MO

Practice location

Address: 5976 Howdershell Rd Suite 113, Hazelwood, MO 63042-4108
Phone: (314) 895-1800
Fax: (314) 895-1804
Mailing address: 13168 Bellerive Farm Dr, Saint Louis, MO 63141-6098

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1144680919
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2016
Record last updated: 7 Mar 2016

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.