Individual
AHMAD ABDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MERCY WAY STE 320, JOPLIN, MO 64804-4524
(417) 556-8500
Mailing address
100 MERCY WAY STE 320, JOPLIN, MO 64804-4524
(417) 556-8500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036157212
IL
207R00000X
Internal Medicine Physician
LP03122
RI
207RI0011X
Interventional Cardiology Physician
036157212
IL
207RI0011X
Interventional Cardiology Physician
Primary
2024033144
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2014
Last updated
11/17/2024
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