Individual
MOHHAMED LOUAY OMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MEDICAL PLZ STE 310, LAKE ST LOUIS, MO 63367-1484
(636) 625-2662
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8764
(314) 577-8125
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
105784
MO
207RG0100X
Gastroenterology Physician
33058
SC
Other
Enumeration date
09/25/2006
Last updated
02/12/2021
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