Organization
DR ARDEKANIS STRESS CLINIC, PC
Active
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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