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MUDAR SOUFIAN ISMAIL PLPC
NPI 1306674890
Counselor - Professional in Saint Louis, MO

Active since July 25, 2024
4030 CHOUTEAU AVE STE 700, SAINT LOUIS, MO 63110(314) 680-9374(314) 645-7802 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mudar Soufian Ismail Plpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUDAR SOUFIAN ISMAIL PLPC (NPI 1306674890) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2024010478) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1306674890
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMUDAR SOUFIAN ISMAILCredential: PLPC
Location Address4030 CHOUTEAU AVE STE 700Saint Louis, MO 63110-1754
Mailing Address701 Treeside Ct Apt IChesterfield, MO 63017-0716 · (636) 856-7505
Phone(314) 680-9374
Fax(314) 645-7802
Sole ProprietorNo
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
✔ NPI 1306674890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2024010478
4030 CHOUTEAU AVE STE 700, Saint Louis, MO 63110
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZAN HANA ESMIEL
Counselor (Mental Health)
4030 CHOUTEAU AVE STE 700
SAINT LOUIS, MO 63110
St. Louis City (314) 645-7800
HUA-HSIN TSAI
Counselor (Mental Health)
4030 CHOUTEAU AVE STE 700
SAINT LOUIS, MO 63110
St. Louis City (314) 224-0948
MONARCH IMMIGRANT SERVICES
Clinic/Center
4030 CHOUTEAU AVE STE 700
SAINT LOUIS, MO 63110
St. Louis City (314) 645-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mudar Ismail's NPI number?

The NPI number for Mudar Ismail is 1306674890. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Mudar Ismail located?

Mudar Ismail practices at 4030 Chouteau Ave Ste 700, Saint Louis, MO 63110. The listed phone number is (314) 680-9374.

What is Mudar Ismail's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mudar Ismail was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.