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MIDWEST INTERNISTS PC NPI 1790984904


NPI Information

NPI: 1790984904
Provider Name: MIDWEST INTERNISTS, PC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1040 N MASON RD
SUITE 102
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 996-8349
Get Directions

MIDWEST INTERNISTS, PC is an endocrinology and diabetes and metabolism internal medicine in Saint Louis, MO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MIDWEST INTERNISTS, PC NPI is 1790984904. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1040 N MASON RD
SUITE 102
SAINT LOUIS, MO
ZIP 63141-399
Phone: (314) 996-8349

The provider's authorized official is Kamal R. Demetry .
The authorized official title is President and has the following contact phone number (314) 996-8349.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 7/17/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism105483MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G47973MEDICARE UPINMISSOURI

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

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