| West County Physicians, Llc | |
|
777 Craig Rd Ste 130 Creve Coeur MO 63141-7133 | |
| (314) 872-7792 | |
| (314) 872-5655 |
| Full Name | West County Physicians, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 777 Craig Rd Ste 130, Creve Coeur, Missouri |
| Authorized Official Name and Position | Carolynn S Nuesse (PRACTICE MANAGER) |
| Authorized Official Contact | 3148727792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West County Physicians, Llc 777 Craig Rd Ste 130 Creve Coeur MO 63141-7133 Ph: (314) 872-7792 | West County Physicians, Llc 777 Craig Rd Ste 130 Creve Coeur MO 63141-7133 Ph: (314) 872-7792 |
| NPI Number | 1518586932 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Medicare PECOS PAC ID | 9032507579 |
|---|---|
| Medicare Enrollment ID | O20211102002146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518586932 | NPI | - | NPPES |
| 208073205 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Saad Z Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093707218 PECOS PAC ID: 2961468129 Enrollment ID: I20041209000017 |
| Provider Name | Sunna S Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770042608 PECOS PAC ID: 7416282264 Enrollment ID: I20230825000504 |
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