DR. MOHAMMED ALI ABBAS


Address: 1402 S Grand Blvd Rm 260, Saint Louis, MO 63104-1004
Phone: 3149779853

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
10004 Kennerly Rd Ste 374b, Saint Louis, MO 631282178 3148429669 3148421017

Other Providers MOHAMMED ABBAS

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

Office Location

Street Address 1402 S GRAND BLVD RM 260
City SAINT LOUIS
State MO
Zip Code 63104-1004

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SAINT LOUIS
Zip Code 63104

Improve Information

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Dataset Information

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.

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