| Advanced Medical Associates, Llc | |
|
4100 Union Blvd Unit B Saint Louis MO 63115-1225 | |
| (314) 531-1112 | |
| (314) 288-0674 |
| Full Name | Advanced Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 Union Blvd Unit B, Saint Louis, Missouri |
| Authorized Official Name and Position | Bhajanlal S Dara (MEMBER) |
| Authorized Official Contact | 3145311112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Associates, Llc 1234 Lay Rd Saint Louis MO 63124-1872 Ph: (314) 323-4492 | Advanced Medical Associates, Llc 4100 Union Blvd Unit B Saint Louis MO 63115-1225 Ph: (314) 531-1112 |
| NPI Number | 1275705501 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/07/2022 |
| Medicare PECOS PAC ID | 6608917299 |
|---|---|
| Medicare Enrollment ID | O20100105000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275705501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bhajan S Dara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699708016 PECOS PAC ID: 2062490139 Enrollment ID: I20100105000114 |
| Provider Name | Ameesh Dara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417367244 PECOS PAC ID: 7618279159 Enrollment ID: I20190924003212 |
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