# MIDWEST MEDICAL PRACTITIONERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174260111
- **Authorized official:** DANISH A JABBAR MD (OWNER)
- **Authorized official phone:** (636) 282-0380

## Contact information

- **Practice address:** 120 BOYD ST, DESOTO, MO 63020
- **Practice address phone:** (636) 282-0380
- **Practice address fax:** (877) 592-0806
- **Mailing address:** 5000 CEDAR PLAZA PKWY STE 300, SAINT LOUIS, MO 63128-3891
- **Mailing address phone:** (636) 282-0380
- **Mailing address fax:** (877) 592-0806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2022
- **Last updated:** 02/11/2026