Organization
RASHID A DALAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHID A DALAL MD (MD)
(618) 239-9500
Entity
Organization
Contact information
Practice address
5003 N ILLINOIS ST STE 1, FAIRVIEW HEIGHTS, IL 62208-3419
(618) 239-9500
(618) 239-9555
Mailing address
7 BEAVER CREEK CT, SAINT CHARLES, MO 63303-5497
(618) 239-9500
(618) 239-9555
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090043
—
IL
01
—
110184061
RR MEDICARE
—
05
—
203771902
—
MO
01
—
DG1905
RR MEDICARE
—
Enumeration date
01/13/2006
Last updated
08/12/2024
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