Individual
DR. ELIE S GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2023005797
MO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
2023005797
MO
Other
Enumeration date
06/27/2007
Last updated
02/23/2023
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