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

Southside Medical Group PC

Organization Specialist · NPI 1912101486

Southside Medical Group PC provides Specialist services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9700 Mackenzie Rd Ste 105
Saint Louis, MO 63123-5423 Not confirmed with CMS for 17 years — call before visiting
Phone: (314) 638-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence R77046 (MO)

Record details

NPI number1912101486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Subodh Mehra — Doctor · (314) 638-9100
NPI enumeratedJune 11, 2007
Last updated in NPPESAugust 28, 2009
Mailing address9700 Mackenzie Rd Ste 105, Saint Louis, MO 63123-5423

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