Grandel Medical

LBN: Midwest Medical Associates Inc
Grandel Medical is an health care organization with primary practice located at 4346 Loughborough Ave , Saint Louis MO 63116-2104. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Midwest Medical Associates Inc can be contacted via phone (314) 481-7030, or through Rudoi, Alexander via phone (314) 481-7030.

Contact Information

Primary practice address
4346 Loughborough Ave Saint Louis MO 63116-2104
Phone: (314) 481-7030
Fax: (314) 481-7120
Website:
Map and Directions
Authorized official contact:
Name: Rudoi, Alexander Doctor of Medicine (MD)
Phone: (314) 481-7030

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MO100186 Missouri

Profile Details

NPI number 1992721047
LBN Legal business name Midwest Medical Associates Inc
DBA Doing business as Grandel Medical
Authorized official Rudoi, Alexander Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 13th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992721047 NPPES
Missouri Other DB2750 MEDICARE RAILROAD

Popular Providers