Eden Pediatrics Llc

Pediatrics

Eden Pediatrics Llc is a Saint Louis, Missouri based Pediatric center with medical specialization in General Pediatrics. It is located at 763 S New Ballas Rd, Suite 220, Saint Louis, Missouri - 63141-8704. They can be contacted on phone at 314-983-0606 and fax number 314-983-0608.
NPI number (Unique professional ID) for Eden Pediatrics Llc is 1659477024 which was assigned by NPPES on 15 Sep, 2006 and it was last updated on 22 Aug, 2020. Eden Pediatrics Llc license number is MD101423 for Pediatrics (208000000X) in Missouri.
Eden Pediatrics Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Eden Pediatrics Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Eden Pediatrics Llc
Business Address:
Eden Pediatrics Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :763 S New Ballas Rd, Suite 220
Saint Louis, MO, 63141-8704
United States
Phone Number :314-983-0606
Fax Number :314-983-0608
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1659477024
NPI Entity Type : Organization
First Enrolment Date : 15 Sep, 2006
Last Updated On : 22 Aug, 2020
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Etihadshakir Al-falahi
Authorized Official Credential :M.D
Official Title or Position :PRESIDENT
Phone Number :314-983-0606
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eden Pediatrics Llc are as mentioned. Primary taxonomy code for Eden Pediatrics Llc is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesMD101423MO
Legacy Identifiers:
Other legacy medical identifiers of Eden Pediatrics Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
114721OtherMOBLUE CROSS BLUE SHIELD
214028OtherMOGROUP HEALTH PLAN
5013620OtherMOAETNA
G10654OtherMOMERCY HEALTH PLAN
1210150OtherMOUNITED HEALTHCARE
286120OtherMOHEALTHLINK
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :763 S New Ballas Rd Ste 220
Saint Louis, MO, 63141-8711
United States
Phone Number :314-983-0606
Fax Number :314-983-0608
Business Location:
Patients can refer following map for directions to Eden Pediatrics Llc practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.