Individual
DR. AHMED A. RADWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 PIERCE BLVD, O FALLON, IL 62269-2579
(618) 206-2070
(618) 206-2071
Mailing address
1512 N GREEN MOUNT RD, SUITE 200, O FALLON, IL 62269-1953
(618) 624-1860
(618) 624-1863
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036114529
IL
Other
Enumeration date
07/06/2006
Last updated
12/30/2021
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