OrganizationActive
Metro Medical Clinic, LLC
NPI 1922585389 · Adult Medicine Physician · Saint Louis, MO
Provider details
- NPI number
- 1922585389
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jawed Siddiqui, Medical Doctor(314) 921-6200
- License
- R6047 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5000 Cedar Plaza Pkwy Ste 300
Saint Louis, MO 63128-3891
Phone: (314) 647-9797
Approximate (ZIP-level) locationGet directions
Mailing address
11115 New Halls Ferry Rd
Florissant, MO 63033-7613
Other names (DBA / former)
- Doing business as
- Metro Medical Clinic, LLC
Registry dates
- Enumerated
- 2018-07-27
- Last updated
- 2018-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.