| Internal Medicine Of Chesterfield, Llc | |
|
222 S Woods Mill Rd Ste 650 Chesterfield MO 63017-3625 | |
| (314) 682-3625 | |
| (314) 590-5953 |
| Full Name | Internal Medicine Of Chesterfield, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 222 S Woods Mill Rd Ste 650, Chesterfield, Missouri |
| Authorized Official Name and Position | James Snider (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6366857804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Chesterfield, Llc 121 Saint Lukes Center Dr Chesterfield MO 63017-3518 Ph: (636) 685-7804 | Internal Medicine Of Chesterfield, Llc 222 S Woods Mill Rd Ste 650 Chesterfield MO 63017-3625 Ph: (314) 682-3625 |
| NPI Number | 1265853543 |
|---|---|
| Provider Enumeration Date | 01/03/2014 |
| Last Update Date | 04/26/2021 |
| Medicare PECOS PAC ID | 1456584671 |
|---|---|
| Medicare Enrollment ID | O20140423001856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265853543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Missouri) | Primary |
| Provider Name | Nadya Ajanee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639284276 PECOS PAC ID: 4385639517 Enrollment ID: I20050920001016 |
| Provider Name | Kanwal M Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659537454 PECOS PAC ID: 3971796756 Enrollment ID: I20101025001300 |
| Provider Name | Chantal G Berez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982049623 PECOS PAC ID: 0749550440 Enrollment ID: I20170727002225 |
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Diagnostic Internists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, 410 S, Chesterfield, MO 63017 Phone: 314-878-7220 Fax: 314-878-0047 | |
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