Organization
TADROS MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H TADROS M.D. (PHYSICIAN/OWNER)
(314) 270-4247
Entity
Organization
Contact information
Practice address
9701 LANDMARK PARKWAY DR, SUITE 110, SAINT LOUIS, MO 63127-1665
(314) 270-4247
(314) 270-4248
Mailing address
9701 LANDMARK PARKWAY DR, SUITE 110, SAINT LOUIS, MO 63127-1665
(314) 270-4247
(866) 542-7823
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R7P58
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982663605
NPI PERSONAL
MO
Enumeration date
08/25/2016
Last updated
11/13/2018
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