| Bimla Dhan Llc | |
|
3394 Mckelvey Rd Ste 115 Bridgeton MO 63044-2531 | |
| (314) 643-7692 | |
| Not Available |
| Full Name | Bimla Dhan Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3394 Mckelvey Rd Ste 115, Bridgeton, Missouri |
| Authorized Official Name and Position | Anoj Goel (OWNER) |
| Authorized Official Contact | 3145183382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bimla Dhan Llc 15 Terry Hill Ln Saint Louis MO 63131-2422 Ph: (314) 518-3382 | Bimla Dhan Llc 3394 Mckelvey Rd Ste 115 Bridgeton MO 63044-2531 Ph: (314) 643-7692 |
| NPI Number | 1043457906 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 09/15/2018 |
| Medicare PECOS PAC ID | 1254480700 |
|---|---|
| Medicare Enrollment ID | O20090513000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043457906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2008010948 (Missouri) | Primary |
| Provider Name | Anoj K Goel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669446498 PECOS PAC ID: 2466454178 Enrollment ID: I20080924000187 |
| Provider Name | Candias Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063915015 PECOS PAC ID: 4688927940 Enrollment ID: I20181102001694 |
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