| Infectious Disease Physicians Llc | |
|
10010 Kennerly Rd Saint Louis MO 63128-2106 | |
| (636) 333-4500 | |
| Not Available |
| Full Name | Infectious Disease Physicians Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 10010 Kennerly Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Rajeev Dewan (PRESIDENT) |
| Authorized Official Contact | 6363334500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Physicians Llc Po Box 1413 O Fallon IL 62269-8413 Ph: () - | Infectious Disease Physicians Llc 10010 Kennerly Rd Saint Louis MO 63128-2106 Ph: (636) 333-4500 |
| NPI Number | 1164720041 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164720041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 2004025502 (Missouri) | Primary |
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