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Contact Information

ETIHAD S ALFALAHI, MD
763 S NEW BALLAS RD STE 220
SAINT LOUIS, MO63141-8711
 Phone: 314-983-0606
 Fax: 314-983-0608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ETIHAD S ALFALAHI · (Female)

NPI Number 1831205327
Status Active
Credentials MD
Entity Individual
Enumeration date 08/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # MD101423
  • MO Other 5013620 AETNA
  • MO Other 114721 BLUE CROSS BLUE SHIELD
  • MO Other 214028 GROUP HEALTH PLAN
  • MO Other 286120 HEALTHLINK
  • MO Other G10654 MERCY HEALTH PLAN
  • MO Other 1210150 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
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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