Individual provider · Type 1 NPI

Ali Al Balushi, MD

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1356750301 Active

Practice location

3660 Vista Ave, Suite 303
St. Louis, MO 63110-2540

Call (314) 977-6082 Map

Fax (314) 977-6086

Mailing address

1438 S Grand Blvd
St. Louis, MO 63104-1027

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2014016456 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356750301

Ali Al Balushi, MD's National Provider Identifier is 1356750301, issued on Aug 4, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 4, 2014.