Healthcare Provider Details

I. General information

NPI: 1790605616
Provider Name (Legal Business Name): DANISH CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 CEDAR PLAZA PKWY STE 230
SAINT LOUIS MO
63128-3859
US

IV. Provider business mailing address

300 RIES BEND RD
BALLWIN MO
63021-3900
US

V. Phone/Fax

Practice location:
  • Phone: 636-400-5500
  • Fax:
Mailing address:
  • Phone: 636-400-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER DANISH
Title or Position: BUSINESS MANAGER
Credential:
Phone: 636-400-5500