Kidney and Hypertension Care Mid-America LLC
NPI #1114783859 in Jerseyville, Illinois
Provider Information
- NPI Number
- 1114783859
- Entity Type
- Organization
- Organization Name
- Kidney and Hypertension Care Mid-America LLC
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Feb 21, 2024
- Last Updated
- Oct 21, 2025
Practice Location
- Address
- 400 MAPLE SUMMIT RD
- City
- Jerseyville
- State
- Illinois
- ZIP Code
- 62052-2028
- Phone
- (314) 628-7750
Authorized Official
- Name
- DR. MEHER S MALLICK, MD
- Title
- OWNER
- Phone
- (314) 628-7750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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