Provider Demographics
NPI:1609092246
Name:H K INTERNAL MEDICINE ASSOCIATES L.L.C.
Entity Type:Organization
Organization Name:H K INTERNAL MEDICINE ASSOCIATES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HELAL
Authorized Official - Middle Name:
Authorized Official - Last Name:EKRAMUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-355-2700
Mailing Address - Street 1:PO BOX 771916
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63177-1916
Mailing Address - Country:US
Mailing Address - Phone:314-878-0163
Mailing Address - Fax:
Practice Address - Street 1:13190 S OUTER 40
Practice Address - Street 2:MEADOW VIEW BUILDING LEVEL 1
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5917
Practice Address - Country:US
Practice Address - Phone:314-392-6380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO502859200Medicaid
MO000014794Medicare ID - Type UnspecifiedGROUP MEDICARE PROVIDER #