OrganizationActive
Longevity Care LLC
NPI 1467158121 · Public Health & General Preventive Medicine Physician · Ellisville, MO
Provider details
- NPI number
- 1467158121
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sikander Bajwa, Ceo(314) 616-1276
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
221 Clarkson Executive Park
Ellisville, MO 63011-2173
Phone: (314) 741-3800
Fax: (314) 741-3801
Approximate (ZIP-level) locationGet directions
Mailing address
219 Clarkson Executive Park
Ellisville, MO 63011-2173
Registry dates
- Enumerated
- 2023-02-03
- Last updated
- 2023-03-02
- Certified
- 2023-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.