Al-Dahhak, Roula
Al-Dahhak, Roula is an individual health care provider with primary practice located at 915 N Grand Blvd # A-139 , Saint Louis MO 63106-1621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Al-Dahhak, Roula can be contacted via phone (314) 652-4100.Contact Information
Primary practice address
915 N Grand Blvd # A-139
Saint Louis MO 63106-1621
Phone: (314) 652-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2010011111 | Missouri |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 35082826 | Ohio |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35082826 | Ohio |
Profile Details
| NPI number | 1033116165 |
|---|---|
| LBN Legal business name | Al-Dahhak, Roula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Apr 17th, 2024 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033116165 | NPPES |
| Ohio | MEDICAID | 2537919 |
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