Medical Consulting Network, Llc | |
10010 Kennerly Rd Saint Louis MO 63128-2106 | |
(314) 344-6000 | |
(331) 241-2216 |
Full Name | Medical Consulting Network, Llc |
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Speciality | Internal Medicine |
Location | 10010 Kennerly Rd, Saint Louis, Missouri |
Authorized Official Name and Position | Anis Berhil (CEO, MD) |
Authorized Official Contact | 9786770038 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Consulting Network, Llc Po Box 7731 Chesterfield MO 63006-7731 Ph: (636) 333-4500 | Medical Consulting Network, Llc 10010 Kennerly Rd Saint Louis MO 63128-2106 Ph: (314) 344-6000 |
NPI Number | 1861163958 |
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Provider Enumeration Date | 09/28/2021 |
Last Update Date | 12/22/2023 |
Medicare PECOS PAC ID | 3072902451 |
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Medicare Enrollment ID | O20211105002434 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861163958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Anis Berhil |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811283609 PECOS PAC ID: 4587802293 Enrollment ID: I20141017000861 |
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