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Contact Information

ASHRAF S AL DADAH, MD
3 SAINT ELIZABETH BLVD STE 2800
O'FALLON, IL62269
 Phone: 618-233-6044
 Fax: 618-233-5195
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ASHRAF S AL DADAH · (Male)

NPI Number 1457526576
Status Active
Credentials MD
Entity Individual
Enumeration date 04/29/2008
Last updated 01/16/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036122184
  • IL Medicaid 036122184
  • IL Other P01515327 RR MEDICARE
Hospital affiliation(s)
  • PROVENA COVENANT MEDICAL CENTER- URBANA - (Acute Care)
    1400 WEST PARK AVENUE
    URBANA, IL 61801
  • PROVENA UNITED SAMARITANS MEDCTR-LOGAN - (Acute Care)
    812 N LOGAN
    DANVILLE, IL 61832
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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