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Search › Missouri › 363A00000X

Raghd Alyatim, PA-C

NPI 1720934524 · on the registry since 2026 · sole proprietor

Practice

Address
12266 Depaul Drive
Suite 205
Bridgeton, MO 63044
Phone
(314) 218-2300
Organisation at this address
Tcp1, Llc
Ssm Health Care St Louis
Ssm Depaul Medical Group
Kevin D. Burgdorf Dds Llc
Vascular Institute At Depaul
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Additional practice sites

  • 3333 Green Bay Rd, North Chicago, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri