| Tadros Medical, Llc | |
|
9701 Landmark Parkway Dr Suite 110 Saint Louis MO 63127-1665 | |
| (314) 270-4247 | |
| (314) 270-4248 |
| Full Name | Tadros Medical, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9701 Landmark Parkway Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | Charles H Tadros (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3142704247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tadros Medical, Llc 9701 Landmark Parkway Dr Suite 110 Saint Louis MO 63127-1665 Ph: (314) 270-4247 | Tadros Medical, Llc 9701 Landmark Parkway Dr Suite 110 Saint Louis MO 63127-1665 Ph: (314) 270-4247 |
| NPI Number | 1073069522 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073069522 | NPI | - | NPPES |
| 1982663605 | Other | MO | NPI PERSONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R7P58 (Missouri) | Primary |
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