| Bariatric & Metabolic Institute Llc | |
|
97 N Kingshighway St Ste 7 Cape Girardeau MO 63701-4366 | |
| (573) 264-2273 | |
| Not Available |
| Full Name | Bariatric & Metabolic Institute Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 97 N Kingshighway St Ste 7, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Vishnu Subramani (CEO) |
| Authorized Official Contact | 5732642273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bariatric & Metabolic Institute Llc 97 N Kingshighway St Ste 7 Cape Girardeau MO 63701-4366 Ph: (573) 264-2273 | Bariatric & Metabolic Institute Llc 97 N Kingshighway St Ste 7 Cape Girardeau MO 63701-4366 Ph: (573) 264-2273 |
| NPI Number | 1598319345 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 09/10/2019 |
| Medicare PECOS PAC ID | 1850621764 |
|---|---|
| Medicare Enrollment ID | O20190919000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598319345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Vishnu Subramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598853368 PECOS PAC ID: 3971536624 Enrollment ID: I20050914000345 |
| Provider Name | Samantha Michelle Myers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528692191 PECOS PAC ID: 1759719172 Enrollment ID: I20200318002604 |
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