Organization
DR ARDEKANIS STRESS CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD BEHESHTI ARDEKANI MD (PRESIDENT)
(314) 843-3310
Entity
Organization
Contact information
Practice address
SUITE 310A, 10004 KENNERLY RD, ST LOUIS, MO 63128-5117
(314) 843-3310
(314) 843-8825
Mailing address
10004 KENNERLY RD, SUITE 310A, SAINT LOUIS, MO 63128-2141
(314) 843-3310
(314) 843-8825
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35941
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015927000
MAGELLAN BEHAVIORAL HEALT
—
01
—
101010
HEALTHLINK
—
01
—
12031
CIGNA GENERAL MOTORS
—
01
—
129999
VALUE OPTIONS
—
01
—
1542794
UNITED BEHAVIORAL HEALTH
—
01
—
181942
ALLIANCE BCBS
—
01
—
198301
VALUE BEHAVIORAL HEALTH
—
01
—
260004802
RR MEDICARE PART B
—
01
—
260004802498769
TRICARE NORTH REGION
—
01
—
31744
CMR CARE MANAGEMENT RESOU
—
05
—
504612003
—
MO
01
—
9534
BCBS OF MISSOURI
—
01
—
A10513
MERCY HEALTH PLAN
—
Enumeration date
04/17/2007
Last updated
05/21/2015
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