Individual
DR. FAISAL J ALBANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 CEDAR PLAZA PKWY, SUITE 220, SAINT LOUIS, MO 63128-3854
(314) 849-9090
(314) 849-4165
Mailing address
5000 CEDAR PLAZA PKWY, SUITE 220, SAINT LOUIS, MO 63128-3854
(314) 849-9090
(314) 849-4165
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
R7G64
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03038
BLUE CROSS BLUE SHIELD
MO
01
—
100068
HEALTHLINK
MO
01
—
4004037
AETNA
MO
01
—
43552
GHP
MO
Enumeration date
10/27/2006
Last updated
07/08/2007
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