Boulos, Fouad Ismat
Boulos, Fouad Ismat is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Div Pa Anatomic And Molecular Path, Saint Louis MO 63110-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Boulos, Fouad Ismat can be contacted via phone (314) 362-5641.Contact Information
Primary practice address
1 Barnes Jewish Hospital Plz Div Pa Anatomic And Molecular Path
Saint Louis MO 63110-1003
Phone: (314) 362-5641
Fax: (314) 362-0369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2020012845 | Missouri |
Profile Details
| NPI number | 1417098831 |
|---|---|
| LBN Legal business name | Boulos, Fouad Ismat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Apr 25th, 2024 - about last year |
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 | 1417098831 | NPPES |
| Missouri | MEDICAID | 200083714 |
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