Fredman, Eli Shlomo

Fredman, Eli Shlomo is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Cardiology, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Fredman, Eli Shlomo can be contacted via phone (314) 454-6095.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Cardiology Saint Louis MO 63110-1002
Fax: (314) 454-2561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2019032613 Missouri
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 2019032613 Missouri

Profile Details

NPI number 1750876306
LBN Legal business name Fredman, Eli Shlomo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2018
Last updated Jul 2nd, 2024 - about 4 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 1750876306 NPPES
Missouri MEDICAID 200061471

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