Dr. Yazan A Abdalla, M.D.
Internal Medicine, Gastroenterology in Saint Louis, MO. Individual provider (NPI-1).
NPI number1033365358
StatusActive
Last updated in NPPESMar 14, 2017
Details
- NPI
- 1033365358
- Entity type
- Individual (NPI-1)
- Name
- Dr. Yazan A Abdalla
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2008
- Last updated
- Mar 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 2011014220 | MO | Yes |
| 207R00000X | Internal Medicine | 2007016056 | MO |
Practice location
10012 Kennerly RdSuite 404
Saint Louis, MO 63128-2197
Phone 314-543-5911 · Fax 314-543-5914
Mailing address
10012 Kennerly RdSte 404
Saint Louis, MO 63128-2197
Phone 314-543-5911 · Fax 314-543-5914
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