Meher S Mallick (NPI# 1093789034, PAC ID# 7911950852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1093789034 |
| PAC ID by PECOS | 7911950852 |
| Professional Enrollment ID | I20050303000513 |
| Full Name | Meher S Mallick |
| Organization Legal Name | ST LOUIS NEPHROLOGY ASSOCIATES LLC |
| Address |
325 Spring St Red Bud IL 62278-1105 |
| Phone Number | 6182823831 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 8921064031 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| 140059 | JERSEY COMMUNITY HOSPITAL |
| 141349 | SPARTA COMMUNITY HOSPITAL |
| 260176 | DES PERES HOSPITAL |
| 141348 | RED BUD REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 325 Spring St, Red Bud, IL 62278-1105 | 6182823831 | ST LOUIS NEPHROLOGY ASSOCIATES LLC |
| 10004 Kennerly Rd, Suite 315a, Saint Louis, MO 63128-2175 | 3148433449 | ST LOUIS NEPHROLOGY ASSOCIATES LLC |
| Organization Legal Name | ST LOUIS NEPHROLOGY ASSOCIATES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Humayun Quadir | Nephrology | St Louis Nephrology Associates LLC | 10004 Kennerly Rd, Suite 315a, Saint Louis, MO 63128-2175 |
| Gopal Krishnan | Nephrology | St Louis Nephrology Associates LLC | 10004 Kennerly Rd, Suite 315a, Saint Louis, MO 63128-2175 |
| Karthikapallil A Antony | Nephrology | St Louis Nephrology Associates LLC | 10004 Kennerly Rd, Suite 315a, Saint Louis, MO 63128-2175 |
| Street Address |
325 SPRING ST |
| City | RED BUD |
| State | IL |
| Zip | 62278-1105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber L Harriman | Physician Assistant | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Zia M Ahmad | Cardiovascular Disease (cardiology) | Bi-state Cardiovascular Consultant PC | 325 Spring St, Suite 2, Red Bud, IL 62278-1105 |
| John M Crowe | Family Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Rosanne L Sutter | Family Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Victor P Hidalgo | Family Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Amy L Rohlfing | Geriatric Medicine | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Julie L Kelley | Emergency Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Tracy M Hasler | Nurse Practitioner | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Alex R Labounty | Family Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Zaki H Chowdhury | Emergency Medicine | Red Bud Physician Group LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Dewilde | Chiropractic | 930 W Market St, Suite 1, Red Bud, IL 62278-1006 | |
| Quentin T Stenzel | Chiropractic | 204 W Market St, Red Bud, IL 62278-1029 | |
| Armida A Hidalgo | Family Medicine | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Jessica L Sheehan | Nurse Practitioner | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Mallory A Butler | Nurse Practitioner | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Margret De Guzman | General Surgery | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Mary O Wunderlich | Physician Assistant | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Danielle A Turner | Nurse Practitioner | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Ziya Baghmanli | General Surgery | Red Bud Illinois Hospital Company LLC | 325 Spring St, Red Bud, IL 62278-1105 |
| Ted G Van Acker | Dermatology | Southern Illinois Dermatology, PC | 325 Spring St, Red Bud, IL 62278-1105 |
| Find all physicians in zip 62278 | |||
| City | RED BUD |
| Zip Code | 62278 |
| Specialty | NEPHROLOGY |
| City + Specialty | RED BUD + NEPHROLOGY |
Please comment or provide details below to improve the information on Meher S Mallick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.