| Infectious Diseases, Pc | |
|
10004 Kennerly Rd 171b Saint Louis MO 63128-2141 | |
| (314) 821-0900 | |
| (800) 556-8932 |
| Full Name | Infectious Diseases, Pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 10004 Kennerly Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Aamina Akhtar (PRESIDENT) |
| Authorized Official Contact | 3148210900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases, Pc 330 1st Capitol Dr #260 Saint Charles MO 63301-2835 Ph: (314) 821-0900 | Infectious Diseases, Pc 10004 Kennerly Rd 171b Saint Louis MO 63128-2141 Ph: (314) 821-0900 |
| NPI Number | 1942587464 |
|---|---|
| Provider Enumeration Date | 11/11/2011 |
| Last Update Date | 06/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942587464 | NPI | - | NPPES |
| 000013458 | Other | MO | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 108767 (Missouri) | Primary |
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