Eden Pediatrics Llc
LBN: Eden Pediatrics Llc
Eden Pediatrics Llc is an health care organization with primary practice located at 763 S New Ballas Rd Suite 220, Saint Louis MO 63141-8704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Eden Pediatrics Llc can be contacted via phone (314) 983-0606, or through Al-Falahi, Etihad Shakir via phone (314) 983-0606.
Contact Information
Primary practice address
763 S New Ballas Rd Suite 220
Saint Louis MO 63141-8704
Phone: (314) 983-0606
Fax: (314) 983-0608
Website:
Authorized official contact:
Name: Al-Falahi, Etihad Shakir Doctor of Medicine (MD)
Phone: (314) 983-0606
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD101423 | Missouri |
Profile Details
| NPI number | 1659477024 |
|---|---|
| LBN Legal business name | Eden Pediatrics Llc |
| DBA Doing business as | |
| Authorized official | Al-Falahi, Etihad Shakir Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659477024 | NPPES |
| Missouri | Other | 114721 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 5013620 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 286120 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | G10654 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 1210150 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 214028 | BLUE CROSS BLUE SHIELD |
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