Provider Demographics
NPI:1376164277
Name:RHEUM CARE LLC
Entity Type:Organization
Organization Name:RHEUM CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROUDER AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-931-2320
Mailing Address - Street 1:PO BOX 31385
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-0385
Mailing Address - Country:US
Mailing Address - Phone:516-488-9427
Mailing Address - Fax:800-557-3140
Practice Address - Street 1:1301 YMCA DRIVE
Practice Address - Street 2:SUITE 600
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-2608
Practice Address - Country:US
Practice Address - Phone:636-931-2320
Practice Address - Fax:800-557-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1407058084Medicaid