Organization
EHAB M KAISER, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB KAISER MD (PRESIDENT)
(314) 780-4785
Entity
Organization
Contact information
Practice address
2 MCKNIGHT PL, SAINT LOUIS, MO 63124-1900
(314) 434-1600
(314) 463-4466
Mailing address
PO BOX 410121, SAINT LOUIS, MO 63141-0121
(314) 578-0478
(314) 463-4466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2000157953
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500505706
—
MO
Enumeration date
10/27/2006
Last updated
01/13/2023
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