Al Dadah, Ashraf Salah

Al Dadah, Ashraf Salah is an individual health care provider with primary practice located at 3 Saint Elizabeth Blvd Ste 2800 , O Fallon IL 62269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Al Dadah, Ashraf Salah can be contacted via phone (618) 233-6044.

Contact Information

Primary practice address
3 Saint Elizabeth Blvd Ste 2800 O Fallon IL 62269
Fax: (618) 233-5195
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036122184 Illinois

Profile Details

NPI number 1457526576
LBN Legal business name Al Dadah, Ashraf Salah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Jan 5th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457526576 NPPES
Illinois MEDICAID 036122184
Illinois Other P01515327

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