National Provider Identifier Database

JOSE J DERDOY MD LLC
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

JOSE J. DERDOY, MD, LLC
845 N NEW BALLAS CT STE 330
CREVE COEUR, MO63141-7169
Phone: 314-744-9078
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for JOSE J. DERDOY, MD, LLC

NPI Number 1003383258
Legal business name
LBN
JOSE J. DERDOY, MD, LLC
Authorized official JOSE DERDOY - (OWNER/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/25/2018
Last updated 06/11/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 000000000 DONT HAVE SUCH NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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