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Individual

EMILY BAHRAM-AHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2000
Mailing address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021001868
MO
208M00000X
Hospitalist Physician
2021001868
MO

Other

Enumeration date
08/28/2014
Last updated
04/21/2021
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