Southside Medical Group Pc

LBN: Southside Medical Group Pc
Southside Medical Group Pc is an health care organization with primary practice located at 9700 Mackenzie Rd Ste 105 , Saint Louis MO 63123-5423. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southside Medical Group Pc can be contacted via phone (314) 638-9100, or through Mehra, Subodh K via phone (314) 638-9100.

Contact Information

Primary practice address
9700 Mackenzie Rd Ste 105 Saint Louis MO 63123-5423
Phone: (314) 638-9100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mehra, Subodh K Doctor of Medicine (MD)
Phone: (314) 638-9100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R77046 Missouri

Profile Details

NPI number 1912101486
LBN Legal business name Southside Medical Group Pc
DBA Doing business as
Authorized official Mehra, Subodh K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2007
Last updated Aug 28th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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