| Metro Cardiovascular, Inc. | |
|
11115 New Halls Ferry Rd Suite 301 Florissant MO 63033-7613 | |
| (314) 921-6200 | |
| (314) 830-0756 |
| Full Name | Metro Cardiovascular, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 11115 New Halls Ferry Rd, Florissant, Missouri |
| Authorized Official Name and Position | Jawed H Siddiqui (PRESIDENT) |
| Authorized Official Contact | 3149216200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Cardiovascular, Inc. 11115 New Halls Ferry Rd Suite 301 Florissant MO 63033-7613 Ph: (314) 921-6200 | Metro Cardiovascular, Inc. 11115 New Halls Ferry Rd Suite 301 Florissant MO 63033-7613 Ph: (314) 921-6200 |
| NPI Number | 1447404991 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/12/2008 |
| Medicare PECOS PAC ID | 8123188125 |
|---|---|
| Medicare Enrollment ID | O20081120000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447404991 | NPI | - | NPPES |
| 110125678 | Other | MO | RAILROAD MEDICARE |
| 200668739 | Medicaid | MO | |
| 7040870018 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-056278 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | R6047 (Missouri) | Primary |
| Provider Name | Jawed H Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699705293 PECOS PAC ID: 5799762415 Enrollment ID: I20040701000288 |
Physician Groups Lc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Graham Rd, Suite 220, Florissant, MO 63031 Phone: 314-838-6700 Fax: 314-838-6020 | |
Kim Lee Mcdonald, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4585 Washington St, Suite C4, Florissant, MO 63033 Phone: 314-838-8839 Fax: 314-838-4291 | |
Physician Groups Lc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd, Suite 101, Florissant, MO 63031 Phone: 314-831-6737 Fax: 314-831-9269 | |
Ssm Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Shackelford Rd, Florissant, MO 63031 Phone: 314-921-4420 Fax: 314-921-6086 | |
Chambers Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Dunn Rd, Suite 204, Florissant, MO 63033 Phone: 314-831-2600 Fax: 314-831-5393 | |
Chandra S. Kaup,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Suite 2006, Florissant, MO 63031 Phone: 314-830-5233 Fax: 314-830-5225 | |
Total Access Urgent Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 N Highway 67 St, Florissant, MO 63031 Phone: 314-961-2255 Fax: 314-270-3694 |