| Metro Medical Institute | |
|
12174 Natural Bridge Rd Bridgeton MO 63044-2017 | |
| (314) 563-3431 | |
| Not Available |
| Full Name | Metro Medical Institute |
|---|---|
| Speciality | Clinic/Center |
| Location | 12174 Natural Bridge Rd, Bridgeton, Missouri |
| Authorized Official Name and Position | David Naeger (OWNER) |
| Authorized Official Contact | 3145603431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Medical Institute 2724 Bennett Ct Saint Louis MO 63139-2702 Ph: (314) 560-3431 | Metro Medical Institute 12174 Natural Bridge Rd Bridgeton MO 63044-2017 Ph: (314) 563-3431 |
| NPI Number | 1043805229 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 03/09/2021 |
| Medicare PECOS PAC ID | 6204204282 |
|---|---|
| Medicare Enrollment ID | O20221122003163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043805229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Mohammed Z Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730115973 PECOS PAC ID: 9537066998 Enrollment ID: I20040423001244 |
| Provider Name | Jawed H Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699705293 PECOS PAC ID: 5799762415 Enrollment ID: I20040701000288 |
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