Healthcare Provider Details

I. General information

NPI: 1215870712
Provider Name (Legal Business Name): NAYAK PLASTIC SURGERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 S LINDBERGH BLVD
SAINT LOUIS MO
63131-2734
US

IV. Provider business mailing address

607 S LINDBERGH BLVD
SAINT LOUIS MO
63131-2734
US

V. Phone/Fax

Practice location:
  • Phone: 314-991-5438
  • Fax: 314-991-2914
Mailing address:
  • Phone: 314-991-5438
  • Fax: 314-991-2914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MILIND DILIP KACHARE
Title or Position: PLASTIC SURGEON
Credential: MD
Phone: 314-991-5438