| Metro Medical Institute | |
| 
					12174 Natural Bridge Rd Bridgeton MO 63044-2017  | |
| (314) 563-3431 | |
| Not Available | 
| Full Name | Metro Medical Institute | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 12174 Natural Bridge Rd, Bridgeton, Missouri | 
| Authorized Official Name and Position | David Naeger (OWNER) | 
| Authorized Official Contact | 3145603431 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Metro Medical Institute 2724 Bennett Ct Saint Louis MO 63139-2702 Ph: (314) 560-3431  | Metro Medical Institute 12174 Natural Bridge Rd Bridgeton MO 63044-2017 Ph: (314) 563-3431  | 
| NPI Number | 1043805229 | 
|---|---|
| Provider Enumeration Date | 03/09/2021 | 
| Last Update Date | 03/09/2021 | 
| Medicare PECOS PAC ID | 6204204282 | 
|---|---|
| Medicare Enrollment ID | O20221122003163 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043805229 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary | 
| Provider Name | Mohammed Z Siddiqui | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1730115973 PECOS PAC ID: 9537066998 Enrollment ID: I20040423001244  | 
| Provider Name | Jawed H Siddiqui | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1699705293 PECOS PAC ID: 5799762415 Enrollment ID: I20040701000288  | 
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