| M Seraji Md Llc | |
|
1040 N Mason Rd Ste 201 Saint Louis MO 63141-6366 | |
| (314) 985-8035 | |
| (314) 985-8034 |
| Full Name | M Seraji Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1040 N Mason Rd Ste 201, Saint Louis, Missouri |
| Authorized Official Name and Position | Mehrzad Seraji (M.D.) |
| Authorized Official Contact | 3149858035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Seraji Md Llc 1040 N Mason Rd Ste 201 Saint Louis MO 63141-6366 Ph: (314) 985-8035 | M Seraji Md Llc 1040 N Mason Rd Ste 201 Saint Louis MO 63141-6366 Ph: (314) 985-8035 |
| NPI Number | 1043611767 |
|---|---|
| Provider Enumeration Date | 09/12/2014 |
| Last Update Date | 08/07/2020 |
| Certification Date | 08/07/2020 |
| Medicare PECOS PAC ID | 9032339205 |
|---|---|
| Medicare Enrollment ID | O20141010000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043611767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sherri G Goodman Ritchie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487622254 PECOS PAC ID: 8527169390 Enrollment ID: I20070724000007 |
| Provider Name | Mehrzad Seraji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942539085 PECOS PAC ID: 2668692781 Enrollment ID: I20141013000974 |
| Provider Name | Treacy Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477184299 PECOS PAC ID: 2062842081 Enrollment ID: I20200415001162 |
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