Individual
DR. RASHID AHMED DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5003 N ILLINOIS ST STE 1, FAIRVIEW HEIGHTS, IL 62208-3419
(618) 239-9500
(618) 239-9555
Mailing address
7 BEAVER CREEK CT, SAINT CHARLES, MO 63303-5497
(618) 239-9500
(618) 239-9555
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036090043
IL
207RN0300X
Nephrology Physician
MD103192
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090043
—
IL
01
—
110184061
RR MEDICARE
—
01
—
110483
BCBS CHOICE
—
05
—
203771902
—
MO
01
—
2369786
AETNA PRUDENTIAL
—
01
—
286639
HEALTHLINK PPO HMO WC
—
01
—
3100008 NEPH
UNITED HEALTHCARE
—
01
—
38137
GHP SENSICARE ACCESS, CMR
—
01
—
816M2
BCBS ALLIANCE
MO
01
—
8226186
BCBS
IL
Enumeration date
08/12/2005
Last updated
04/30/2024
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