Provider Demographics
NPI:1912349515
Name:RHEUMATOLOGY CARE LLC
Entity Type:Organization
Organization Name:RHEUMATOLOGY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RHEUMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAULAT
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSHTAQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-496-3198
Mailing Address - Street 1:691 TRADE CENTER BLVD
Mailing Address - Street 2:PMB PPP
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005
Mailing Address - Country:US
Mailing Address - Phone:314-496-3198
Mailing Address - Fax:
Practice Address - Street 1:691 TRADE CENTER BLVD
Practice Address - Street 2:PMB PPP
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005
Practice Address - Country:US
Practice Address - Phone:618-806-6676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty