Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Impact Physician Group, Missouri Cardiology Services LLC

Organization Cardiovascular Disease Physician · NPI 1497454649

Impact Physician Group, Missouri Cardiology Services LLC is a Cardiovascular Disease Physician in Bridgeton, Missouri. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12380 De Paul Dr
Bridgeton, MO 63044-2511
Phone: (314) 447-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Medical Plz Fl 5, Lake St Louis, MO 63367-1366 — (636) 625-5200

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1497454649
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamran Quraishi — Owner · (502) 345-1561
NPI enumeratedFebruary 27, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023
Mailing address21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546

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