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Hadeel Ali Awwad Alzoubi, M.D.

Student in an Organized Health Care Education/Training Program in St. Louis, MO. Individual provider (NPI-1).

NPI number1053102491
StatusActive
Last updated in NPPESJun 26, 2026

Details

NPI
1053102491
Entity type
Individual (NPI-1)
Name
Hadeel Ali Awwad Alzoubi
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2025
Certification date
Jun 26, 2026
Last updated
Jun 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1465 South Grand Boulevard
2nd Floor Glennon Hall, Room 2717
St. Louis, MO 63104-1003

Phone 314-577-5634 · Fax 314-577-5616

Mailing address

1465 South Grand Boulevard
2nd Floor Glennon Hall, Room 2717
St. Louis, MO 63104-1003

Phone 314-577-5634 · Fax 314-577-5616

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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