Soudah, Hani C

Soudah, Hani C is an individual health care provider with primary practice located at 1044 N Mason Rd Div Im Endocrinology, Ste 330, Saint Louis MO 63141-6431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is his primary health care specialty. Soudah, Hani C can be contacted via phone (314) 362-3500.

Contact Information

Primary practice address
1044 N Mason Rd Div Im Endocrinology, Ste 330 Saint Louis MO 63141-6431
Phone: (314) 362-3500
Fax: (314) 230-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 103060 Missouri
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 103060 Missouri

Profile Details

NPI number 1811935471
LBN Legal business name Soudah, Hani C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 20th, 2024 - about 3 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 1811935471 NPPES
Missouri MEDICAID 205221500

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