Healthcare Provider Details

I. General information

NPI: 1942678024
Provider Name (Legal Business Name): UROPATH CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 09/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12898 THORNHILL CT
SAINT LOUIS MO
63131-1883
US

IV. Provider business mailing address

12898 THORNHILL CT
SAINT LOUIS MO
63131-1883
US

V. Phone/Fax

Practice location:
  • Phone: 314-368-1540
  • Fax:
Mailing address:
  • Phone: 314-368-1540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD112142
License Number StateMO

VIII. Authorized Official

Name: DR. ZAHID KALEEM
Title or Position: PRESIDENT
Credential: M.D
Phone: 314-368-1540