Individual
DR. HELAL EKRAMUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2870 NETHERTON DR, SAINT LOUIS, MO 63136-4649
(314) 355-2700
(314) 355-2720
Mailing address
PO BOX 66980, SAINT LOUIS, MO 63166-6980
(314) 878-0163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001014922
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015618
MEDICARE GRP #
MO
05
—
205434319
—
MO
01
—
955295618
MEDICARE IND#
MO
Enumeration date
11/14/2006
Last updated
01/18/2020
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