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Individual

SAMEER RANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12303 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 344-6000
(314) 514-6020
Mailing address
999 EXECUTIVE PARKWAY DR, SUITE 210, SAINT LOUIS, MO 63141-6336
(314) 514-6000
(314) 514-6020

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2008004925
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386642320
MO
01
35909
MEDICAL LICENSE NUMBER
IA
Enumeration date
07/13/2005
Last updated
06/28/2011
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