Southside Medical Group Pc in Saint Louis - Specialist
Southside Medical Group Pc - NPI 1912101486
Southside Medical Group Pc is a Specialist in Saint Louis, Missouri. Southside Medical Group Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southside Medical Group Pc is 1912101486. The last update date is 2009-08-28.
Southside Medical Group Pc's current location address is 9700 Mackenzie Rd Ste 105, Saint Louis, Missouri. You can contact this provider via phone number 3146389100. The mailing address for Southside Medical Group Pc is 9700 Mackenzie Rd Ste 105, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Medical Group Pc |
|---|---|
| Address | 9700 Mackenzie Rd Ste 105, Saint Louis, Missouri |
| Phone Number | 3146389100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Mehra K Subodh |
| Credentials | M.D. |
| Telephone Number | 3146389100 |
NPI Number Detail
| NPI Number | 1912101486 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2009-08-28 |
Provider Mailing Address Detail
| Address | 9700 Mackenzie Rd Ste 105 |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631235423 |
| Phone Number | 3146389100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | R77046 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Southside Medical Group Pc by the Centers for Medicare & Medicaid Services?
The Southside Medical Group Pc has been assigned the NPI (National Provider Identifier) 1912101486 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Southside Medical Group Pc is physically located?
The Southside Medical Group Pc is physically situated at the following address: 9700 Mackenzie Rd Ste 105, Saint Louis, MO, 631235423.
What is the area of specialization for Southside Medical Group Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southside Medical Group Pc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date was the 1912101486 assigned to Southside Medical Group Pc?
The Southside Medical Group Pc was issued its 1912101486 on 2007-06-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Southside Medical Group Pc last refreshed?
The information related to the Southside Medical Group Pc, including its address, specialty, and other relevant details, was last updated on 2009-08-28.