| NPI | 1033365358 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-08-18 |
| Last Updated | 2017-03-14 |
| Mailing Address | 10012 Kennerly Rd, Ste 404 Saint Louis, MO 63128-2197 United States Phone: (314) 543-5911 | Fax: (314) 543-5914 📍 View Map |
| Primary Practice Address | 10012 Kennerly Rd, Suite 404 Saint Louis, MO 63128-2197 United States Phone: (314) 543-5911 | Fax: (314) 543-5914 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | MO | 156440048 | Medicare ptan # |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207R00000X – Internal Medicine | MO | 2007016056 |
| Yes | 207RG0100X – Internal Medicine, Gastroenterology | MO | 2011014220 |
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About NPI 1033365358
Yazan A Abdalla M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033365358. The primary specialty listed is Internal Medicine, Gastroenterology. The provider is located in Saint Louis, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-08-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033365358?
NPI 1033365358 belongs to Yazan A Abdalla M.D., a Internal Medicine, Gastroenterology in Saint Louis, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033365358 active?
The current status of NPI 1033365358 in the NPPES registry is Active. The record was last updated on 2017-03-14.
What specialty is NPI 1033365358?
NPI 1033365358 is classified under the taxonomy Internal Medicine, Gastroenterology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033365358?
You can verify NPI 1033365358 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033365358?
The primary practice address on file for NPI 1033365358 is 10012 Kennerly Rd, Saint Louis, MO 63128-2197. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033365358 issued?
NPI 1033365358 was first issued (enumerated) on 2008-08-18. The NPPES record was last updated on 2017-03-14.
Practice Location Map
Yazan A Abdalla is located at 10012 Kennerly Rd, Saint Louis, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Yazan A Abdalla. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033365358. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 2007016056 | MO |
| Internal Medicine, Gastroenterology | 2011014220 | MO |