Omurtag, Kenan Rifat
Omurtag, Kenan Rifat is an individual health care provider with primary practice located at 4444 Forest Park Ave Div Ob Reproductive Endocrinology, Ste 3100, Saint Louis MO 63108-2212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is his primary health care specialty. Omurtag, Kenan Rifat can be contacted via phone (314) 286-2400.Contact Information
Primary practice address
4444 Forest Park Ave Div Ob Reproductive Endocrinology, Ste 3100
Saint Louis MO 63108-2212
Phone: (314) 286-2400
Fax: (314) 286-2455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2010006162 | Missouri |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 2010006162 | Missouri |
Profile Details
| NPI number | 1477738136 |
|---|---|
| LBN Legal business name | Omurtag, Kenan Rifat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Apr 25th, 2024 - about 7 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 | 1477738136 | NPPES |
| Missouri | MEDICAID | 209173608 |
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