Individual
ABDALLAH OMAR AMIREH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 N RIVERSIDE RD STE 150, SAINT JOSEPH, MO 64507-2508
(816) 271-4025
(816) 271-4026
Mailing address
802 N RIVERSIDE RD STE 150, SAINT JOSEPH, MO 64507-2508
(816) 271-4025
(816) 271-4026
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
2023032613
MO
2084N0400X
Neurology Physician
2023032613
MO
2084V0102X
Vascular Neurology Physician
Primary
2023032613
MO
2085R0204X
Vascular & Interventional Radiology Physician
2023032613
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200143249
—
MO
Enumeration date
07/07/2017
Last updated
04/20/2026
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