Organization
METRO CARDIOVASCULAR, INC.
Active
Parent organization
METRO CARDIOVASCULAR, INC.
Other names
Metro Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
METRO CARDIOVASCULAR, INC.
Authorized official
DR. JAWED H SIDDIQUI M.D. (PRESIDENT)
(314) 921-6200
Entity
Organization
Contact information
Practice address
11115 NEW HALLS FERRY RD, SUITE 301, FLORISSANT, MO 63033-7613
(314) 921-6200
(314) 830-0756
Mailing address
11115 NEW HALLS FERRY RD, SUITE 301, FLORISSANT, MO 63033-7613
(314) 921-6200
(314) 830-0756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-056278
IL
207R00000X
Internal Medicine Physician
Primary
R6047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110125678
RAILROAD MEDICARE
MO
05
—
200668739
—
MO
05
—
7040870018
—
IL
Enumeration date
11/11/2008
Last updated
11/12/2008
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