| Ali Medical Llc | |
|
300 Medical Plz Ste 100 Lake St Louis MO 63367-1484 | |
| (630) 952-1412 | |
| Not Available |
| Full Name | Ali Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Medical Plz Ste 100, Lake St Louis, Missouri |
| Authorized Official Name and Position | Qaiser Jawaid (MEMBER) |
| Authorized Official Contact | 6309521412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Medical Llc 300 Medical Plz Ste 100 Lake St Louis MO 63367-1484 Ph: (630) 952-1412 | Ali Medical Llc 300 Medical Plz Ste 100 Lake St Louis MO 63367-1484 Ph: (630) 952-1412 |
| NPI Number | 1700152048 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 02/24/2021 |
| Medicare PECOS PAC ID | 1355597261 |
|---|---|
| Medicare Enrollment ID | O20120808000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700152048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Secondary |
| Provider Name | Qaiser Jawaid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437110681 PECOS PAC ID: 0749232304 Enrollment ID: I20050211000637 |
| Provider Name | Farhat Shereen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255583407 PECOS PAC ID: 9032274154 Enrollment ID: I20090224000358 |
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