Healthcare Provider Details

I. General information

NPI: 1053298281
Provider Name (Legal Business Name): ABRAR RAMADAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 S GRAND BLVD STE 3721
SAINT LOUIS MO
63104-1003
US

IV. Provider business mailing address

1465 S GRAND BLVD STE 3721
SAINT LOUIS MO
63104-1003
US

V. Phone/Fax

Practice location:
  • Phone: 314-577-5680
  • Fax:
Mailing address:
  • Phone: 314-577-5680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number2025035574
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: