# MISSOURI HEALTHCARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1245639673
- **Authorized official:** RUSLAN NURUSHEV (OWNER)
- **Authorized official phone:** (314) 925-7517

## Contact information

- **Practice address:** 2901 UNION RD, UNIT 205B, SAINT LOUIS, MO 63125-3972
- **Practice address phone:** (314) 925-7517
- **Practice address fax:** (314) 925-7511
- **Mailing address:** 2901 UNION RD, UNIT 205B, SAINT LOUIS, MO 63125-3972
- **Mailing address phone:** (314) 925-7517
- **Mailing address fax:** (314) 925-7511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 105827 | MO | Yes |

## Other

- **Enumeration date:** 08/21/2014
- **Last updated:** 09/10/2014