Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 110171 | MO |
NPI | 1255395687 |
---|---|
Provider Name | Dr. Alaa A Elbendary |
First Address | Saint Louis, MO 63141-7025 |
Second Address | Saint Louis, MO 63141-7025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 29/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
027213 | FMH EXCLUSIVE CHOICE (01) | |
121918 | ADVANTRA (01) | |
121918 | CMR (01) | |
121918 | GROUP HEALTH PLAN (01) | |
288803 | HEALTHLINK (01) | |
33180 | BLUE CHOICE (01) | MO |
33810 | BCBS (01) | MO |
412030177 | CIGNA (01) | |
412030177 | GOLDEN RULE (01) | |
412030177 | GREAT WEST (01) | |
412030177 | UNITED HEALTHCARE (01) | |
7407000 | MEDICARE COMPLETE (01) | MO |
F82867 | (02) | MO |
F82867 | MERCY (01) | |
P00330196 | RR MEDICARE (01) | MO |