Individual
DR. GHADAH AL ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5201 MID AMERICA PLZ STE 2300, STE 2300, SAINT LOUIS, MO 63129-0002
(314) 286-1900
(314) 286-1908
Mailing address
660 S EUCLID AVE, C B 8124, SAINT LOUIS, MO 63110-1010
(314) 747-2066
(314) 747-2460
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2016013486
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
08/09/2010
Last updated
01/24/2018
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