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Organization

GATEWAY CARDIOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GHASSAN A ASSI (PRACTICE ADMINISTRATOR)
(314) 729-0088
Entity
Organization

Contact information

Practice address
10004 KENNERLY RD STE 185B, SAINT LOUIS, MO 63128-2176
(314) 729-0088
(314) 729-3974
Mailing address
10004 KENNERLY RD STE 185B, SAINT LOUIS, MO 63128-2176
(314) 729-0088
(314) 729-3963

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04232002
BCBS
IL
01
114949
BCBS
MO
01
12062
ESSENCE HEALTHCARE
MO
01
12159
MEDICARE
MO
01
24111584004
CIGNA PAL REFERRAL
MO
01
367460
MEDICARE
IL
01
39784
GROUP HEALTH PLAN
MO
01
4479817
AETNA
MO
05
508677101
MO
01
CI9392
MEDICARE RAILROAD
Enumeration date
05/30/2006
Last updated
01/15/2022
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