Provider Demographics
NPI:1124095864
Name:AITKEN, RAMONA (MD)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:AITKEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:
Other - Last Name:SIMIONESCU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 504934
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-4934
Mailing Address - Country:US
Mailing Address - Phone:314-821-0900
Mailing Address - Fax:
Practice Address - Street 1:10004 KENNERLY RD STE 171B
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2176
Practice Address - Country:US
Practice Address - Phone:314-821-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002008195207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205975907Medicaid