| Infectious Diseases Consultants Llc | |
|
10010 Kennerly Rd Saint Louis MO 63128-2106 | |
| (314) 525-1000 | |
| (636) 333-4510 |
| Full Name | Infectious Diseases Consultants Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10010 Kennerly Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Sumbul Meraj (OWNER, MD) |
| Authorized Official Contact | 3122030826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Consultants Llc Po Box 181 Chesterfield MO 63006-0181 Ph: (314) 525-1000 | Infectious Diseases Consultants Llc 10010 Kennerly Rd Saint Louis MO 63128-2106 Ph: (314) 525-1000 |
| NPI Number | 1053983130 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 08/31/2021 |
| Medicare PECOS PAC ID | 8022414994 |
|---|---|
| Medicare Enrollment ID | O20210901002909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053983130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Sumbul Meraj |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285931261 PECOS PAC ID: 9436394228 Enrollment ID: I20210507001372 |
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