Allergy & Asthma Specialists PC

Organization Active NPI Allergy Physician · Saint Peters, MO

NPI 1295722445 · NPPES record last updated Jan 21, 2010

Key facts

NPI
1295722445
Entity type
Organization (NPI type 2)
Primary specialty
Allergy Physician 207KA0200X
License
34881 (MO)
Legal business name
ALLERGY & ASTHMA SPECIALISTS PC
Practice address
4200 N Cloverleaf Dr
Suite G
Saint Peters, MO 63376-6436
Phone
(636) 928-1232
NPI assigned
Oct 3, 2005
Organization subpart
No

Authorized official

Name
Mohammad H. Rahman, MD
Title
President
Phone
(636) 828-1232

National Provider Directory

Locations

4200 N Cloverleaf Dr
Ste G
Saint Peters, MO 63376
Phone (636) 928-1232

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207KA0200X 34881 MO Yes

Addresses

Primary practice location

4200 N Cloverleaf Dr
Suite G
Saint Peters, MO 63376-6436

Mailing address

10, Conway Springs Drive
Chesterfield, MO 63017-3411
Phone (636) 928-1232

Other identifiers

IdentifierTypeStateIssuer
P0200039OtherMOUNITEDHEALTHCARE
26775OtherMOBLUECROSSBLUESHIELD
222470OtherMOGROUPHEALTHPLAN
0004000868OtherMDAETNA HEALTH INSURANCE
0689941002OtherMOCIGNA HEALTH INSURANCE
OOO6000455OtherILBLUECROSSBLUESHIELD

Other providers in Saint Peters, MO

All providers in Saint Peters, MO · Allergy Physician in Missouri

Sources for this page

Verify at the official NPI Registry.