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ST. LOUIS MEDICAL REHAB GROUP LLC NPI 1871960385


NPI Information

NPI: 1871960385
Provider Name: ST. LOUIS MEDICAL REHAB GROUP LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1025 DUNN RD
FLORISSANT, MO
ZIP 63031
Phone: (314) 736-1333
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ST. LOUIS MEDICAL REHAB GROUP LLC is a geriatric medicine internal medicine in Florissant, MO. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. ST. LOUIS MEDICAL REHAB GROUP LLC NPI is 1871960385. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1025 DUNN RD
FLORISSANT, MO
ZIP 63031-205
Phone: (314) 736-1333
Fax: (314) 736-1336

The provider's authorized official is Ahmed Syed Ali .
The authorized official title is President and has the following contact phone number (314) 736-1333.

The enumeration date for this NPI number is 9/1/2015 and was last updated on 3/24/2016.


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
1207Q00000XFamily MedicineNo
2208100000XPhysical Medicine & RehabilitationMISSOURINo
3332B00000XDurable Medical Equipment & Medical SuppliesMISSOURINo
4207RG0300XInternal MedicineGeriatric MedicineMISSOURIYes

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
17463020001MEDICARE NSCMISSOURI

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: 11/14/2023

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