SOUTH COUNTY ENDOCRINOLOGY AND OBESITY MEDICINE LLC NPI 1144564196

NPI Information

NPI: 1144564196
Provider Name: SOUTH COUNTY ENDOCRINOLOGY AND OBESITY MEDICINE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
12900 TESSON FERRY RD STE 101
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 843-4848
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SOUTH COUNTY ENDOCRINOLOGY AND OBESITY MEDICINE LLC is a multi-specialty clinic center in Saint Louis, MO. SOUTH COUNTY ENDOCRINOLOGY AND OBESITY MEDICINE LLC NPI is 1144564196. The provider is registered as an organization entity type.

The provider's business location address is:

12900 TESSON FERRY RD STE 101
SAINT LOUIS, MO
ZIP 63128-002
Phone: (314) 843-4848
Fax: (866) 510-2730

The provider's authorized official is Bharathi Raju .
The authorized official title is Sole Member and has the following contact phone number (636) 236-5820.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 9/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	2001005643	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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