MEDICARE: ADVANCED MEDICAL ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1275705501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MEDICAL ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	1234 LAY RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63124-1872
Country	:	US
Telephone Number	:	314-323-4492
Fax Number	:	800-469-1494

Provider Business Practice Location Address
First Line	:	4100 UNION BLVD UNIT B
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-1225
Country	:	US
Telephone Number	:	314-531-1112
Fax Number	:	314-288-0674

Authorized Official
Title or Position	:	MEMBER
Name	:	BHAJANLAL S DARA
Credential	:	MD
Telephone Number	:	314-531-1112

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	03/07/2022

Similar Medicare Providers

1831191725 — DR. ERNESTO GUTIERREZ M.D.
Practice Location Address:

4100 UNION BLVD STE B
SAINT LOUIS, MO
63115-1225

Practice Phone: 314-531-1112
Practice Fax: 314-209-2700

1497074520 — GATEWAY ST LOUIS DIALYSIS LLC
Practice Location Address:

4100 UNION BLVD
SAINT LOUIS, MO
63115-1225

Practice Phone: 314-382-3480
Practice Fax: 314-382-3515

1689034860 — JAMELA LOVE NP-C
Practice Location Address:

4100 UNION BLVD , UNIT B
SAINT LOUIS, MO
63115-1225

Practice Phone: 314-531-1112
Practice Fax:

1134344922 — SCOTT GEOFFREY KAAR M.D.
Practice Location Address:

1225 S GRAND BLVD # 1
SAINT LOUIS, MO
63104-1016

Practice Phone: 314-257-3390
Practice Fax:

1457937906 — KEVIN DANIEL THOMAS DO
Practice Location Address:

1225 S GRAND BLVD
SAINT LOUIS, MO
63104-1016

Practice Phone: 314-617-3431
Practice Fax:

1174519177 — MRS. RHONDA M LEBBING RN, ANP-BC
Practice Location Address:

1225 S GRAND BLVD FL 3
SAINT LOUIS, MO
63104-1016

Practice Phone: 317-977-1807
Practice Fax: 314-977-7613

Directions to “ADVANCED MEDICAL ASSOCIATES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.