Provider Demographics
NPI:1447421128
Name:CHOICE GROUP, LLC
Entity Type:Organization
Organization Name:CHOICE GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTENER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRITHVI
Authorized Official - Middle Name:P
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-393-3937
Mailing Address - Street 1:8112 DELMAR BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-3736
Mailing Address - Country:US
Mailing Address - Phone:314-725-5556
Mailing Address - Fax:314-725-2223
Practice Address - Street 1:8112 DELMAR BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130-3736
Practice Address - Country:US
Practice Address - Phone:314-725-5556
Practice Address - Fax:314-725-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0832087261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service