Stella Maris Internal Medicine Llc

LBN: Stella Maris Internal Medicine Llc
Stella Maris Internal Medicine Llc is an health care organization with primary practice located at 12855 N 40 Dr Suite 350, Saint Louis MO 63141-8635. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Stella Maris Internal Medicine Llc can be contacted via phone (314) 205-1926, or through Soudah, Hani Charles via phone (314) 205-1926.

Contact Information

Primary practice address
12855 N 40 Dr Suite 350 Saint Louis MO 63141-8635
Phone: (314) 205-1926
Fax: (314) 205-1076
Website:
Map and Directions
Authorized official contact:
Name: Soudah, Hani Charles MD, PHD
Phone: (314) 205-1926

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 103060 Missouri

Profile Details

NPI number 1710925383
LBN Legal business name Stella Maris Internal Medicine Llc
DBA Doing business as
Authorized official Soudah, Hani Charles MD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Mar 17th, 2014 - about 10 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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