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Individual

DR. BASSAM NMI AL-JOUNDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10012 KENNERLY ROAD, SUITE #301, ST LOUIS, MO 63128
(314) 729-0088
(314) 729-3963
Mailing address
10012 KENNERLY ROAD, SUITE #301, ST LOUIS, MO 63128
(314) 729-0088
(314) 729-3963

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036079696
IL
207RC0000X
Cardiovascular Disease Physician
Primary
R4N86
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04232002
BCBS
IL
01
1017477
CARE PARTNERS
MO
01
10954
BCBS
MO
01
12557
ESSENCE HEALTHCARE
MO
01
19559
HEALTHCARE USA
MO
05
207774100
MO
01
21237
EXCLUSIVE CHOICE
MO
01
2500140
UNITED HEALTH CARE
MO
01
259827
HEALTHLINK
MO
01
45834
GROUP HEALTH PLAN
MO
01
8860701
CIGNA HMO PPO OPEN ACCESS
MO
01
8860701001
CIGNA PAL REFERRAL
MO
01
917022
FIRST HEALTH NETWRORK
MO
01
951897
AETNA
MO
01
E64517
MERCY HELATH PLAN
MO
Enumeration date
05/30/2006
Last updated
07/23/2016
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