Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mid West Clinical Practice LLC

Organization Internal Medicine Physician · NPI 1396455150

Mid West Clinical Practice LLC is an Internal Medicine Physician in Chesterfield, Missouri. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

15345 Schoettler Estates Dr
Chesterfield, MO 63017-5461
Phone: (917) 500-3356
Fax: (636) 778-9569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 728 Forest Trace Dr, Chesterfield, MO 63017-1742 — (347) 285-0627

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1396455150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manirul Tamal — Owner · (917) 500-3356
NPI enumeratedDecember 1, 2022
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address15345 Schoettler Estates Dr, Chesterfield, MO 63017-5461

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