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Individual

RAMIS GHEITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12255 DE PAUL DR STE 120, BRIDGETON, MO 63044-2513
(636) 933-2243
Mailing address
PO BOX 3891, CHESTERFIELD, MO 63006-3891
(636) 933-2243

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
336-076787
IL
208VP0000X
Pain Medicine Physician
036115525
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
2008003901
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0333210001
DMERC
01
2008003901
MO LICENSE
MO
Enumeration date
07/12/2007
Last updated
11/10/2020
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