| Sreenu Ada,md,pc | |
|
10018 Kennerly Rd Saint Louis MO 63128-2106 | |
| (636) 465-0544 | |
| Not Available |
| Full Name | Sreenu Ada,md,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10018 Kennerly Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Sreenu Ada (OWNER) |
| Authorized Official Contact | 3144968328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sreenu Ada,md,pc Po Box 270653 Saint Louis MO 63127-0653 Ph: (314) 496-8328 | Sreenu Ada,md,pc 10018 Kennerly Rd Saint Louis MO 63128-2106 Ph: (636) 465-0544 |
| NPI Number | 1003990821 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/06/2023 |
| Medicare PECOS PAC ID | 3274533484 |
|---|---|
| Medicare Enrollment ID | O20070111000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003990821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2003023195 (Missouri) | Primary |
| Provider Name | Sreenu Ada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134171200 PECOS PAC ID: 1153213459 Enrollment ID: I20040329001627 |
| Provider Name | Scott M Dembiec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619178159 PECOS PAC ID: 1557415189 Enrollment ID: I20090818000016 |
| Provider Name | Brittany Nichole Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427713510 PECOS PAC ID: 4486045853 Enrollment ID: I20211217001762 |
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