Individual
DR. OBEID NOOR ILAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE, DIV SURG ACCS, STE 420, SAINT LOUIS, MO 63108-1495
(314) 362-5298
(888) 824-2176
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 362-5298
(888) 824-2176
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2014032444
MO
2086S0102X
Surgical Critical Care Physician
2014032444
MO
2086S0127X
Trauma Surgery Physician
Primary
2014032444
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200017106
—
MO
Enumeration date
05/12/2006
Last updated
04/25/2024
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