Organization
ST LOUIS GYNECOLOGY & ONCOLOGY
Active
Organization
ST LOUIS GYNECOLOGY & ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAA A ELBENDARY M.D. (MANAGING MEMBER)
(314) 991-5445
Entity
Organization
Contact information
Practice address
11652 STUDT AVE, SAINT LOUIS, MO 63141-7025
(314) 991-5445
(314) 991-5447
Mailing address
11652 STUDT AVE, SAINT LOUIS, MO 63141-7025
(314) 991-5445
(314) 991-5447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
110171
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027213
FMH EXCLUSIVE CHOICE
—
01
—
121918
GROUP HEALTH PLAN
—
01
—
288803
HEALTHLINK
—
01
—
33180
BLUE CHOICE
MO
01
—
33810
BCBS
MO
01
—
352689215
TRICARE
—
01
—
797098
MEDICARE COMPLETE
MO
01
—
DE9886
RR MEDICARE
MO
01
—
F82867
MERCY
—
Enumeration date
08/11/2006
Last updated
12/03/2010
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