Provider Demographics
NPI:1023138369
Name:MIDWEST PULMONARY AND CRITICAL CARE CONSULTANTS INC
Entity type:Organization
Organization Name:MIDWEST PULMONARY AND CRITICAL CARE CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-473-6183
Mailing Address - Street 1:777 CRAIG ROAD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7133
Mailing Address - Country:US
Mailing Address - Phone:314-473-6183
Mailing Address - Fax:314-552-7579
Practice Address - Street 1:777 CRAIG ROAD
Practice Address - Street 2:SUITE 130
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7133
Practice Address - Country:US
Practice Address - Phone:314-473-6183
Practice Address - Fax:314-552-7579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4P08207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOF25253Medicare UPIN
MO000013696Medicare PIN