Healthcare Provider Details
I. General information
NPI: 1376164277
Provider Name (Legal Business Name): RHEUM CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2020
Last Update Date: 05/01/2020
Certification Date: 05/01/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1301 YMCA DRIVE SUITE 600
FESTUS MO
63028-2608
US
IV. Provider business mailing address
PO BOX 31385
SAINT LOUIS MO
63131-0385
US
V. Phone/Fax
- Phone: 636-931-2320
- Fax: 800-557-3140
- Phone: 516-488-9427
- Fax: 800-557-3140
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROMILA
ASLAM
Title or Position: PROUDER AND OWNER
Credential: M.D
Phone: 636-931-2320