DR. MOHAMMED ALI ABBAS (NPI# 1306057310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306057310 |
Entity Type | Individual |
Full Name | DR. MOHAMMED ALI ABBAS |
Credential | M.D. |
Practice Address |
1402 S Grand Blvd Rm 260 Saint Louis MO 63104-1004 |
Practice Telephone | 3149779853 |
Mailing Telephone | 3149779853 |
Enumeration Date | 2007-05-24 |
Last Update Date | 2019-03-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2006016918 | MO | Allopathic & Osteopathic Physicians |
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
2007022042 | MO | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
10004 Kennerly Rd Ste 374b, Saint Louis, MO 631282178 | 3148429669 | 3148421017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003437872 | Mohammed Abbas | Orthopaedic Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-02 |
1518598341 | Mohammed Abbas | Pharmacist | 4239 E 12 Mile Rd, Warren, MI 48092-4141 | 2020-01-30 |
1588650386 | Mohammed A Abbas | Radiology | 1201 S Main St, Crown Point, IN 46307-8481 | 2005-09-27 |
Street Address |
1402 S GRAND BLVD RM 260 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63104-1004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
Find all providers in zip 63104 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649396334 | William Edward Holloway | Radiology | 226 N Boyle Ave Apt 2n, Saint Louis, MO 63108-2922 | 2007-03-22 |
1851895718 | Allison Khoo | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 | 2018-03-23 |
1922530666 | Francisco Javier Gortes | Radiology | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 | 2017-03-31 |
1154778959 | Jimmy Xu | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2016-05-21 |
1396152005 | Ahmed Abdelbaki | Radiology | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2014-07-14 |
1124446844 | Alexander Ushinsky | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110 | 2014-03-31 |
1225391592 | Ali Malik | Radiology | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2012-06-20 |
1306131974 | Jerome Kao | Radiology | 3635 Vista Ave, Department of Radiology, Saint Louis, MO 63110 | 2011-06-12 |
1346553443 | Louis Maurice Morel-ovalle | Radiology | 3635 Vista Ave, Ssm Health Dept of Radiology, Saint Louis, MO 63110-2539 | 2010-07-17 |
1609192277 | Pavan K Kavali | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2010-04-07 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63104 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.