Organization
DR. M. K. ONIFADE INTERNAL MEDICINE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOYOSORE KIKELOMO ONIFADE M.D. (MANAGER)
(314) 355-5300
Entity
Organization
Contact information
Practice address
2880 NETHERTON DR STE 200, SAINT LOUIS, MO 63136-4697
(314) 355-5300
(314) 521-4656
Mailing address
2880 NETHERTON DR STE 200, SAINT LOUIS, MO 63136-4697
(314) 355-5300
(314) 521-4656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002019255
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208818716
—
MO
Enumeration date
05/15/2007
Last updated
10/21/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us