| Medical Weight Management Specialists, Llc | |
|
111 Saint Lukes Center Dr Ste 44b Chesterfield MO 63017-3509 | |
| (314) 205-1926 | |
| (314) 205-1076 |
| Full Name | Medical Weight Management Specialists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 Saint Lukes Center Dr Ste 44b, Chesterfield, Missouri |
| Authorized Official Name and Position | James Snider (V. P. PHYSICIAN NETWORK) |
| Authorized Official Contact | 6366857804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Weight Management Specialists, Llc 121 Saint Lukes Center Dr Ste 200 Chesterfield MO 63017-3518 Ph: (636) 685-7804 | Medical Weight Management Specialists, Llc 111 Saint Lukes Center Dr Ste 44b Chesterfield MO 63017-3509 Ph: (314) 205-1926 |
| NPI Number | 1891236360 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 12/06/2021 |
| Medicare PECOS PAC ID | 5193092088 |
|---|---|
| Medicare Enrollment ID | O20170524002366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891236360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
| Provider Name | Hani C Soudah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811935471 PECOS PAC ID: 2365455607 Enrollment ID: I20060803000149 |
| Provider Name | Leah Ruth Kuhlmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750947727 PECOS PAC ID: 3678927043 Enrollment ID: I20231004000712 |
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