Individual provider · NPI-1

Dr. Mohamed Shebl Abdelbaki, MD

Pediatrics, Pediatric Hematology-Oncology · Saint Louis, MO

NPI number1508021361
StatusActive
Last updated in NPPESApr 15, 2025

Details

NPI
1508021361
Entity type
Individual (NPI-1)
Name
Dr. Mohamed Shebl Abdelbaki
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 22, 2008
Certification date
Nov 20, 2020
Last updated
Apr 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0207X Pediatrics, Pediatric Hematology-Oncology2020024603MOYes
208000000X Pediatrics2020024603MO

Practice location

1 Childrens Pl
Div Ped Hematology And Onc
Saint Louis, MO 63110-1002

Phone 314-454-6018 · Fax 844-621-4392

Mailing address

Po Box 7412011
Chicago, IL 60674-2011

Phone 314-454-6018 · Fax 844-621-4392

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