MEDICARE: CHOICE GROUP, 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	261QH0100X	Health Service Clinic/Center	0832087	MO

General Provider Information

NPI Number	:	1447421128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICE GROUP, LLC

Provider Business Mailing Address
First Line	:	8112 DELMAR BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-3736
Country	:	US
Telephone Number	:	314-725-5556
Fax Number	:	314-725-2223

Provider Business Practice Location Address
First Line	:	8112 DELMAR BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63130-3736
Country	:	US
Telephone Number	:	314-725-5556
Fax Number	:	314-725-2223

Authorized Official
Title or Position	:	MANAGING PARTENER
Name	:	DR. PRITHVI P SINGH
Credential	:
Telephone Number	:	314-393-3937

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	02/18/2010

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