LONGEVITY VEIN CLINIC LLC
NPI 1033902994
Internal Medicine in Ballwin, MO

Active since May 23, 2025
15421 CLAYTON RD STE G1, BALLWIN, MO 63011(314) 639-9475 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Longevity Vein Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGEVITY VEIN CLINIC LLC (NPI 1033902994) is a healthcare organization registered as an internal medicine in Ballwin, Missouri and active in the NPI registry since May 2025. The organization lists Ameen M Bajwa, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033902994
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLONGEVITY VEIN CLINIC LLC
Location Address15421 CLAYTON RD STE G1Ballwin, MO 63011-3161
Mailing Address15421 Clayton Rd Ste G1Ballwin, MO 63011-3161 · (314) 639-9475
Organization SubpartNo
Authorized OfficialAmeen M BajwaCfo · (314) 954-4005
Enumeration DateMay 23, 2025
NPPES CertifiedMay 23, 2025
NPI 1033902994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

15421 CLAYTON RD STE G1, Ballwin, MO 63011

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033902994, enumerated as an "organization" on May 23, 2025.

The provider is located at 15421 CLAYTON RD STE G1 BALLWIN, MO 63011 and the phone number is (314) 639-9475.

Internal Medicine with taxonomy code 207R00000X.