Individual provider · NPI-1

Dr. Ahmed Abdelbaki, M.D.

Radiology, Vascular & Interventional Radiology · Saint Louis, MO

NPI number1396152005
StatusActive
Last updated in NPPESMay 24, 2020

Details

NPI
1396152005
Entity type
Individual (NPI-1)
Name
Dr. Ahmed Abdelbaki
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 14, 2014
Certification date
May 24, 2020
Last updated
May 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional Radiology2020013946MOYes

Practice location

3635 Vista Ave
Saint Louis, MO 63110-2539

Phone 314-577-8000

Mailing address

3635 Vista Ave
Saint Louis, MO 63110-2539

Phone 314-577-8000

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