RANDA IBRAHIM HAZAM

SAINT LOUIS, MO
NPI1295222404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  2022040465)
Additional Taxonomies208M00000X Hospitalist
(Licence: MO  202204065)
Enumeration Date2018-04-13
Last Update Date2022-11-01
Business Address
RANDA IBRAHIM HAZAM
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-257-8222
Mailing Address
RANDA IBRAHIM HAZAM
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-257-8222