Individual provider · NPI-1

Dr. Ahmed M El-Sabbagh, M.D.

Internal Medicine, Geriatric Medicine · Saint Louis, MO

NPI number1376917781
StatusActive
Last updated in NPPESMar 6, 2024

Details

NPI
1376917781
Entity type
Individual (NPI-1)
Name
Dr. Ahmed M El-Sabbagh
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 23, 2015
Certification date
Mar 6, 2024
Last updated
Mar 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0300X Internal Medicine, Geriatric Medicine4301104848MIYes
207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy2015018271MO
2085R0202X Radiology, Diagnostic Radiology4301104848MI

Practice location

1402 S Grand Blvd
Division Of Nuclear Medicine, Fdt-2
Saint Louis, MO 63104-1004

Phone 314-577-8047

Mailing address

1402 S Grand Blvd
Division Of Nuclear Medicine, Fdt-2
Saint Louis, MO 63104-1004

Phone 314-577-8047

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