Individual
ABDULLAH AL MASUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8222
(314) 577-8019
Mailing address
1008 SOUTH SPRING, GIM, 2ND FLOOR, ST. LOUIS, MO 63110-2520
(314) 257-8222
(314) 577-8019
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2020023585
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053845321
NPI
—
Enumeration date
04/13/2017
Last updated
01/29/2021
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