Organization
AIMA NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY XIAO-YUE MA MD (CEO)
(314) 984-8380
Entity
Organization
Contact information
Practice address
2315 DOUGHERTY FERRY RD, SUITE 207, SAINT LOUIS, MO 63122-3383
(314) 984-8380
(314) 984-5091
Mailing address
PO BOX 410290, SAINT LOUIS, MO 63141-0290
(314) 984-8380
(314) 984-5091
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
106297
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500157
UNITED HEALTH CARE
MO
01
—
108428
BLUE CROSS ATHEM
MO
05
—
208715508
—
MO
01
—
218597
GROUP HEALTH PLAN
MO
01
—
333473
HEALTH LINK
MO
01
—
5868624
AETNA
MO
Enumeration date
07/23/2007
Last updated
06/13/2011
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