Individual
DR. MOHAMMED ALI ABBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 BOWLES AVE STE 220, FENTON, MO 63026-2384
(636) 681-3030
(636) 326-1545
Mailing address
1011 BOWLES AVE STE 220, FENTON, MO 63026-2384
(636) 681-3030
(636) 326-1545
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2006016918
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2007022042
MO
Other
Enumeration date
05/24/2007
Last updated
12/31/2023
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