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Individual

BADREDDIEN ELSEBAI FARRAG HAMMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
SSM HEALTH ST. MARY'S HOSPITAL - ST LOUIS., 6420 CLAYTON ROAD., ST. LOUIS, MO 63117
(314) 768-8778
Mailing address
SSM HEALTH ST. MARY'S HOSPITAL - ST LOUIS., 6420 CLAYTON ROAD., ST. LOUIS, MO 63117
(314) 768-8778

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74792-20
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2018
Last updated
05/23/2022
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