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Individual

DR. ISAM S HAWATMEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M D

Contact information

Practice address
12345 W BEND DR STE 304, SAINT LOUIS, MO 63128-2256
(314) 722-2500
(314) 645-8244
Mailing address
12345 W BEND DR STE 304, SAINT LOUIS, MO 63128-2256
(314) 722-2500
(314) 722-2556

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7D78
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1110163355
RRMCR
MO
01
1125337
FIRST HORIZON
MO
01
1140267
CARE PARTNER
MO
01
125694
HEALTHLINK
MO
01
178V178
GHP
MO
01
1811930092
ANY INSURANCES
MO
05
202132114
MO
01
20315
HEALTHCARE
MO
01
26810
BLUE CROSS
MO
01
305572
PARTNER HMO
MO
01
431540492
COMMERICAL
MO
01
889041
COMMUNITY
MO
01
PC23505
CIGNA
MO
01
STL040029
UNITED HEALTHCARE
MO
01
STM040053
MED COMP
MO
Enumeration date
06/14/2006
Last updated
09/29/2022
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