Rosman, Ilana Shaina

Rosman, Ilana Shaina is an individual health care provider with primary practice located at 4901 Forest Park Ave Div Im Dermatology, Ste 502, Saint Louis MO 63108-1495. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Rosman, Ilana Shaina can be contacted via phone (314) 273-3376.

Contact Information

Primary practice address
4901 Forest Park Ave Div Im Dermatology, Ste 502 Saint Louis MO 63108-1495
Fax: (888) 665-8309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 2012011931 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2012011931 Missouri

Profile Details

NPI number 1508027897
LBN Legal business name Rosman, Ilana Shaina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508027897 NPPES
Missouri MEDICAID 200004442

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