Al Ismail, Ghadah

Al Ismail, Ghadah is an individual health care provider with primary practice located at 5201 Mid America Plz Ste 2300 Ste 2300, Saint Louis MO 63129-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Al Ismail, Ghadah can be contacted via phone (314) 286-1900.

Contact Information

Primary practice address
5201 Mid America Plz Ste 2300 Ste 2300 Saint Louis MO 63129-0002
Fax: (314) 286-1908
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2016013486 Missouri

Profile Details

NPI number 1326353855
LBN Legal business name Al Ismail, Ghadah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2010
Last updated Jan 24th, 2018 - about 7 years 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 1326353855 NPPES
Illinois MEDICAID ENROLLED

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