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MRT MEDICAL GROUP.PC NPI 1467613125


NPI Information

NPI: 1467613125
Provider Name: MRT MEDICAL GROUP.PC

Doing Business As: COUNTY MEDICAL SPECIALISTS

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2325 DOUGHERTY FERRY RD,
SUITE# 206
ST LOUIS, MO
ZIP 63122
Phone: (314) 265-3033
Get Directions

MRT MEDICAL GROUP.PC is a geriatric medicine internal medicine in St Louis, MO. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MRT MEDICAL GROUP.PC NPI is 1467613125. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As County Medical Specialists.

The provider's business location address is:

2325 DOUGHERTY FERRY RD,
SUITE# 206
ST LOUIS, MO
ZIP 63122
Phone: (314) 265-3033
Fax: (314) 821-0952

The provider's authorized official is Venkata R Pante .
The authorized official title is Director and has the following contact phone number (314) 265-3033.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 6/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine2000174352MISSOURINo
2208M00000XHospitalist2000174352MISSOURINo
3207RG0300XInternal MedicineGeriatric Medicine2000174352MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H31299MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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