| Midwest Med Care Llc | |
|
4801 Weldon Spring Pkwy Weldon Spring MO 63304-9101 | |
| (314) 291-7997 | |
| (636) 386-5386 |
| Full Name | Midwest Med Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4801 Weldon Spring Pkwy, Weldon Spring, Missouri |
| Authorized Official Name and Position | Adnan Siddiqui (OWNER) |
| Authorized Official Contact | 3142917997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Med Care Llc Po Box 1449 Maryland Heights MO 63043-0449 Ph: (314) 291-7997 | Midwest Med Care Llc 4801 Weldon Spring Pkwy Weldon Spring MO 63304-9101 Ph: (314) 291-7997 |
| NPI Number | 1215548102 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 12/31/2023 |
| Medicare PECOS PAC ID | 2062832181 |
|---|---|
| Medicare Enrollment ID | O20201012001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215548102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mehreen B Khann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942292420 PECOS PAC ID: 2567422793 Enrollment ID: I20041013000101 |
| Provider Name | Adnan Y Siddiqui |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134194327 PECOS PAC ID: 7810910460 Enrollment ID: I20060110000071 |
| Provider Name | Mitchell J Durante |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861837783 PECOS PAC ID: 2668775172 Enrollment ID: I20170825003482 |
| Provider Name | Elena A Barrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336703883 PECOS PAC ID: 8921333741 Enrollment ID: I20190716000781 |
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