| Midwest Infectious Disease Consultants Llc | |
|
10010 Kennerly Rd Saint Louis MO 63128-2106 | |
| (636) 333-4500 | |
| Not Available |
| Full Name | Midwest Infectious Disease Consultants Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 10010 Kennerly Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Tanuja Nemani (PRESIDENT) |
| Authorized Official Contact | 6363334500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Infectious Disease Consultants Llc 548 Oakwood Dr Fenton MO 63026-3531 Ph: () - | Midwest Infectious Disease Consultants Llc 10010 Kennerly Rd Saint Louis MO 63128-2106 Ph: (636) 333-4500 |
| NPI Number | 1740587021 |
|---|---|
| Provider Enumeration Date | 02/22/2011 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740587021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 2008019273 (Missouri) | Primary |
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