Organization
METRO CARDIOLOGY GROUP LTD
Active
Organization
METRO CARDIOLOGY GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANULLAH KHAN PATHAN MD (PRESIDENT)
(618) 239-3356
Entity
Organization
Contact information
Practice address
4600 MEMORIAL DR STE 420, BELLEVILLE, IL 62226-5366
(618) 239-3356
(618) 239-3359
Mailing address
4600 MEMORIAL DR, MEDICAL CENTER 2 STE 420, BELLEVILLE, IL 62226-5366
(618) 239-3356
(618) 239-3359
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060909
—
IL
01
—
08200472
BCBS
IL
01
—
0938287001
CIGNA
—
01
—
100789
BCBS
MO
01
—
101463
HEALTHLINK
—
01
—
140491
PHCS
—
01
—
146897XX
PREFERRED CARE
—
01
—
1495152
BCBS
PA
01
—
2102754
AETNA
—
01
—
2507179
UHC
—
01
—
7661
GHP CMR
—
01
—
CA5095
RR MEDICARE
IL
01
—
D14712
MERCY HEALTH PLAN
—
Enumeration date
07/10/2006
Last updated
06/22/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up