Organization
ST LOUIS MEDICAL PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEEVEEN SALAMA (BILLING)
(314) 543-2800
Entity
Organization
Contact information
Practice address
8790 WATSON RD, SUITE 201, SAINT LOUIS, MO 63119-5140
(314) 543-2800
(314) 543-2801
Mailing address
8790 WATSON RD, SUITE 201, SAINT LOUIS, MO 63119-5140
(314) 543-2800
(314) 543-2801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133658
BLUE CROSS BLUE SHIELD
MO
05
—
507345502
—
MO
01
—
62328300001
DMEPTAN
MO
01
—
CJ3494
MEIDCARE RAILROAD
MO
Enumeration date
10/18/2006
Last updated
06/26/2024
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