Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AHMED A. RADWAN, M.D.
Active Sole ProprietorDR. AHMED A. RADWAN, M.D. is a Sports Medicine healthcare provider located in O FALLON, Illinois. NPI 1376575126 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · O FALLON, IL
Registration Details
- NPI Number
- 1376575126
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (20.063212119118 yrs)
- Last Updated
- Dec 30, 2021
- License
-
036114529 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
670 PIERCE BLVDO FALLON, IL, 622692579Browse IL providers · Browse ZIP 62269
- Phone
- 6182062070
- Fax
- 6182062071
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD DERBY | MD | 1295720845 |
| NELSON EUGENE SHREVE | MD | 1720541527 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.