Individual
DR. OMAR HANI ELSAYED-ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 MID AMERICA PLZ, DIV IM ALLERGY AND IMMUNOLOGY, STE 2300, SAINT LOUIS, MO 63129-0002
(314) 996-8670
(866) 362-4984
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 996-8670
(866) 362-4984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019034401
MO
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
2019034401
MO
208000000X
Pediatrics Physician
2019034401
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2019034401
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084426
—
MO
Enumeration date
03/17/2017
Last updated
04/17/2025
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