Provider Demographics
NPI:1609481696
Name:MEDICAL CARE LLC
Entity Type:Organization
Organization Name:MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GURPREET
Authorized Official - Middle Name:S
Authorized Official - Last Name:PADDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-481-5000
Mailing Address - Street 1:5203 CHIPPEWA ST STE 301
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-2356
Mailing Address - Country:US
Mailing Address - Phone:314-481-5000
Mailing Address - Fax:314-481-3037
Practice Address - Street 1:5203 CHIPPEWA ST STE 301
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-2356
Practice Address - Country:US
Practice Address - Phone:314-481-5000
Practice Address - Fax:314-481-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service