MEDICARE: VIKAS DHAWAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	2019047271	MO
2	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	43350	KY
3	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	036174389	IL

General Provider Information

NPI Number	:	1932349792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIKAS DHAWAN MD

Provider Business Mailing Address
First Line	:	157 CHESTERFIELD BUSINESS PKWY
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1233
Country	:	US
Telephone Number	:	618-500-5888
Fax Number	:	314-451-8885

Provider Business Practice Location Address
First Line	:	157 CHESTERFIELD BUSINESS PKWY
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1233
Country	:	US
Telephone Number	:	618-500-5888
Fax Number	:	314-451-8885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2009
Last Update Date	:	06/05/2026

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