Provider Demographics
NPI:1881469013
Name:SARINA TEK MD LLC
Entity type:Organization
Organization Name:SARINA TEK MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SARINA
Authorized Official - Middle Name:TEKWANI
Authorized Official - Last Name:PHATAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-934-0551
Mailing Address - Street 1:17 DUNLEITH DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1895
Mailing Address - Country:US
Mailing Address - Phone:314-458-7403
Mailing Address - Fax:314-272-3952
Practice Address - Street 1:845 N NEW BALLAS CT STE 310
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7169
Practice Address - Country:US
Practice Address - Phone:314-934-0551
Practice Address - Fax:314-272-3952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty