Provider Demographics
NPI:1598319345
Name:BARIATRIC & METABOLIC INSTITUTE LLC
Entity Type:Organization
Organization Name:BARIATRIC & METABOLIC INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VISHNU
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBRAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-264-2273
Mailing Address - Street 1:97 N KINGSHIGHWAY ST STE 7
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4366
Mailing Address - Country:US
Mailing Address - Phone:573-264-2273
Mailing Address - Fax:
Practice Address - Street 1:97 N KINGSHIGHWAY ST STE 7
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-4366
Practice Address - Country:US
Practice Address - Phone:573-264-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center