Individual
ALI SHERIF ELDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE MEMORIAL DRIVE, ALTON, IL 63136-6119
(618) 463-7311
Mailing address
PO BOX 1125, MARYLAND HEIGHTS, MO 63043-0125
(888) 731-1036
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036077965
IL
207L00000X
Anesthesiology Physician
Primary
MDR9G17
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202401121
—
MO
01
—
203133
BCBS MO (GROUP #)
MO
01
—
P00317566
RR MEDICARE
—
Enumeration date
05/26/2006
Last updated
03/07/2023
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