Dr. Kenan Rifat Omurtag, MD
Obstetrics & Gynecology, Reproductive Endocrinology in Saint Louis, MO. Individual provider (NPI-1).
NPI number1477738136
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1477738136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenan Rifat Omurtag
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 31, 2007
- Last updated
- Apr 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VE0102X | Obstetrics & Gynecology, Reproductive Endocrinology | 2010006162 | MO | Yes |
| 207V00000X | Obstetrics & Gynecology | 2010006162 | MO |
Practice location
4444 Forest Park AveDiv Ob Reproductive Endocrinology, Ste 3100
Saint Louis, MO 63108-2212
Phone 314-286-2400 · Fax 314-286-2455
Mailing address
Po Box 7412011Chicago, IL 60674-2011
Phone 314-286-2400 · Fax 314-286-2455
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