# ADVANCED ORTHOSPINE INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1487381406
- **Authorized official:** SHAKEEL AHMED MD (OWNER/PRESIDENT)
- **Authorized official phone:** (618) 239-0678

## Contact information

- **Practice address:** 10012 MANCHESTER RD, SAINT LOUIS, MO 63122-1826
- **Practice address phone:** (618) 239-0678
- **Practice address fax:** (800) 516-2392
- **Mailing address:** 10012 MANCHESTER RD, SAINT LOUIS, MO 63122-1826
- **Mailing address phone:** (618) 239-0678
- **Mailing address fax:** (800) 516-2392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2022
- **Last updated:** 08/02/2022