Mrad, Richard G

Mrad, Richard G is an individual health care provider with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mrad, Richard G can be contacted via phone (314) 317-0600.

Contact Information

Primary practice address
10010 Kennerly Rd Saint Louis MO 63128-2106
Phone: (314) 317-0600
Fax: (314) 317-0606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R3G47 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X R3G47 Missouri

Profile Details

NPI number 1972573715
LBN Legal business name Mrad, Richard G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jun 13th, 2012 - about 12 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 1972573715 NPPES
Missouri MEDICAID 1972573715

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